| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,972 |
1,712 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,849 |
1,616 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
268 |
259 |
$3K |
| 90688 |
|
213 |
209 |
$3K |
| 90662 |
|
84 |
81 |
$675.68 |
| 96127 |
|
96 |
93 |
$254.66 |
| G0008 |
Administration of influenza virus vaccine |
64 |
60 |
$34.66 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$30.99 |
| 3074F |
|
45 |
44 |
$8.00 |
| 3078F |
|
48 |
48 |
$8.00 |
| 4010F |
|
15 |
15 |
$3.00 |
| 3044F |
|
14 |
14 |
$3.00 |
| 1126F |
|
16 |
14 |
$0.00 |
| 3048F |
|
48 |
45 |
$0.00 |
| 99072 |
|
95 |
82 |
$0.00 |