| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
347 |
331 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
227 |
$13K |
| 96127 |
|
59 |
45 |
$393.81 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
27 |
27 |
$379.62 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
28 |
$359.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$238.08 |