| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
695 |
526 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
215 |
$25K |
| 96127 |
|
509 |
394 |
$2K |
| 91322 |
|
12 |
12 |
$2K |
| 90682 |
|
43 |
17 |
$978.90 |
| 90480 |
|
12 |
12 |
$480.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
22 |
$465.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
202 |
161 |
$0.00 |