| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,251 |
1,102 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,180 |
965 |
$33K |
| 99215 |
Prolong outpt/office vis |
231 |
218 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
152 |
149 |
$2K |
| 90686 |
|
176 |
163 |
$1K |
| 90688 |
|
72 |
72 |
$952.73 |
| 93000 |
|
56 |
55 |
$540.56 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
152 |
136 |
$475.20 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
154 |
137 |
$280.38 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$27.32 |
| G0008 |
Administration of influenza virus vaccine |
65 |
59 |
$7.29 |