| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,349 |
1,282 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299 |
291 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$137.61 |
| G0008 |
Administration of influenza virus vaccine |
96 |
95 |
$0.00 |
| 90682 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
125 |
124 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
16 |
16 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |