| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
593 |
582 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
361 |
$18K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$234.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$143.75 |
| 3078F |
|
102 |
100 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 3074F |
|
37 |
37 |
$0.00 |