| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,055 |
941 |
$2K |
| 96120 |
|
101 |
81 |
$118.40 |
| 96103 |
|
36 |
28 |
$38.00 |
| 96136 |
|
274 |
273 |
$18.42 |
| 96102 |
|
56 |
45 |
$11.61 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
78 |
66 |
$2.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
353 |
332 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
355 |
334 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$0.00 |
| 99406 |
|
13 |
13 |
$0.00 |