| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,593 |
1,522 |
$53K |
| 99442 |
|
85 |
84 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
192 |
$3K |
| 99443 |
|
13 |
13 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
70 |
25 |
$862.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$154.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
225 |
221 |
$0.00 |