| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
265 |
250 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$15.30 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
33 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
35 |
32 |
$0.00 |