| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,674 |
2,069 |
$234K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
245 |
243 |
$4K |
| 90688 |
|
163 |
163 |
$3K |
| 90756 |
|
82 |
81 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
75 |
75 |
$842.40 |
| 0031A |
|
17 |
17 |
$716.04 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$270.52 |
| 99051 |
|
29 |
25 |
$176.40 |
| 91303 |
|
17 |
17 |
$0.00 |