| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,208 |
6,335 |
$250K |
| T2022 |
Case management, per month |
640 |
583 |
$215K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,569 |
819 |
$104K |
| 99408 |
|
638 |
583 |
$104K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
639 |
582 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,305 |
1,198 |
$62K |
| 80305 |
|
1,247 |
1,062 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
221 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
91 |
$1K |
| 90686 |
|
81 |
80 |
$850.00 |
| 99442 |
|
31 |
27 |
$630.58 |
| 0031A |
|
25 |
18 |
$298.32 |
| 0064A |
|
14 |
14 |
$111.87 |