| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,932 |
6,142 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,066 |
4,065 |
$55K |
| 99397 |
|
93 |
70 |
$519.42 |
| 90662 |
|
512 |
419 |
$343.19 |
| 90688 |
|
62 |
53 |
$334.46 |
| G0008 |
Administration of influenza virus vaccine |
776 |
630 |
$327.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
402 |
379 |
$149.95 |
| 90746 |
|
16 |
13 |
$119.42 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
519 |
361 |
$109.17 |
| 90682 |
|
157 |
119 |
$105.33 |
| 90694 |
|
22 |
22 |
$78.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$51.00 |
| 96127 |
|
12 |
12 |
$15.85 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
250 |
236 |
$0.00 |