| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
374 |
350 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
99 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
53 |
$1K |
| 90686 |
|
12 |
12 |
$203.64 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$197.28 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$180.30 |