| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,848 |
5,000 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,167 |
1,912 |
$52K |
| 96156 |
|
790 |
781 |
$35K |
| G9920 |
Screening performed and negative |
423 |
418 |
$9K |
| 99386 |
|
43 |
43 |
$4K |
| 99385 |
|
41 |
41 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
75 |
75 |
$3K |
| 99215 |
Prolong outpt/office vis |
38 |
37 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
70 |
$719.88 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$626.37 |
| 93000 |
|
41 |
40 |
$588.35 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$290.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$0.00 |