| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
846 |
808 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
945 |
891 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$172.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
139 |
136 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
127 |
127 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
43 |
42 |
$0.00 |