| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,454 |
1,243 |
$336K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
985 |
852 |
$220K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
80 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$7K |
| 99384 |
|
18 |
17 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$3K |
| 90682 |
|
45 |
42 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
22 |
21 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
65 |
55 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
15 |
12 |
$0.00 |
| 99173 |
|
59 |
57 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,720 |
1,477 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
274 |
255 |
$0.00 |
| 86580 |
|
73 |
58 |
$0.00 |
| 90688 |
|
65 |
59 |
$0.00 |
| 90686 |
|
28 |
25 |
$0.00 |