| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,449 |
1,334 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
695 |
665 |
$39K |
| G9016 |
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
358 |
343 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
175 |
172 |
$2K |
| 96160 |
|
174 |
171 |
$607.02 |
| 90686 |
|
18 |
18 |
$369.54 |
| G0008 |
Administration of influenza virus vaccine |
31 |
31 |
$341.00 |
| 90674 |
|
42 |
28 |
$297.00 |
| 3008F |
|
392 |
381 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |