| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
806 |
756 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
895 |
875 |
$35K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
79 |
79 |
$1K |
| 99173 |
|
16 |
16 |
$131.70 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$108.00 |
| 90686 |
|
15 |
12 |
$67.50 |
| 3074F |
|
198 |
186 |
$0.00 |
| 3075F |
|
30 |
30 |
$0.00 |
| 3079F |
|
83 |
83 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
185 |
185 |
$0.00 |
| 3078F |
|
196 |
184 |
$0.00 |