| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
860 |
799 |
$14K |
| 90686 |
|
115 |
111 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
50 |
$533.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
55 |
$281.66 |
| 96127 |
|
67 |
65 |
$59.29 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
42 |
40 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
210 |
192 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
15 |
15 |
$0.00 |