| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
671 |
655 |
$74K |
| 99215 |
Prolong outpt/office vis |
427 |
423 |
$61K |
| 99233 |
Prolong inpt eval add15 m |
373 |
124 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
135 |
129 |
$28K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
149 |
142 |
$16K |
| 90674 |
|
28 |
28 |
$773.97 |
| 99490 |
Ccm add 20min |
80 |
80 |
$609.77 |
| 90661 |
|
13 |
13 |
$331.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$329.40 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
43 |
43 |
$57.69 |
| 3078F |
|
431 |
405 |
$0.00 |
| 1159F |
|
546 |
514 |
$0.00 |
| 3008F |
|
546 |
514 |
$0.00 |
| 1125F |
|
398 |
376 |
$0.00 |
| 3075F |
|
180 |
174 |
$0.00 |
| 1036F |
|
339 |
315 |
$0.00 |
| 1034F |
|
189 |
183 |
$0.00 |
| 3074F |
|
320 |
301 |
$0.00 |
| 3079F |
|
72 |
71 |
$0.00 |