| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
527 |
481 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
75 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
146 |
142 |
$1K |
| 90686 |
|
105 |
103 |
$730.29 |
| 81000 |
|
40 |
40 |
$129.87 |
| 96127 |
|
13 |
13 |
$36.01 |
| 3074F |
|
12 |
12 |
$0.01 |
| 3078F |
|
12 |
12 |
$0.01 |
| 1111F |
|
485 |
437 |
$0.00 |
| 1036F |
|
568 |
521 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
768 |
696 |
$0.00 |
| 1034F |
|
16 |
14 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
850 |
773 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
152 |
140 |
$0.00 |