| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,257 |
1,133 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,089 |
999 |
$59K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
26 |
$650.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$306.75 |
| 90686 |
|
13 |
13 |
$214.50 |