| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,312 |
1,909 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,596 |
1,387 |
$55K |
| 90682 |
|
27 |
27 |
$1K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
100 |
69 |
$419.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$391.08 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
136 |
117 |
$334.95 |
| 96127 |
|
156 |
142 |
$171.68 |
| 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) |
57 |
46 |
$42.00 |
| 99406 |
|
18 |
12 |
$15.93 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
17 |
12 |
$0.00 |