| Code | Description | Claims | Beneficiaries | Total Paid |
| 59425 |
|
354 |
247 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
41 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
47 |
$1K |
| 81003 |
|
417 |
298 |
$813.03 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
14 |
$311.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$135.00 |
| 81025 |
|
22 |
21 |
$61.60 |