| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,006 |
839 |
$65K |
| 99215 |
Prolong outpt/office vis |
453 |
388 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
45 |
$2K |
| 90686 |
|
60 |
45 |
$1K |
| 99406 |
|
62 |
60 |
$477.18 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
32 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
21 |
$0.00 |