| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,141 |
1,636 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
490 |
387 |
$15K |
| 99223 |
Prolong inpt eval add15 m |
17 |
14 |
$898.36 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
19 |
12 |
$336.82 |
| 90756 |
|
21 |
14 |
$136.99 |
| G0008 |
Administration of influenza virus vaccine |
49 |
27 |
$53.76 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$27.31 |