| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,461 |
3,176 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
841 |
802 |
$40K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,059 |
1,632 |
$27K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
478 |
135 |
$5K |
| 90674 |
|
31 |
31 |
$453.01 |
| 90756 |
|
30 |
30 |
$450.94 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
62 |
61 |
$310.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$284.01 |
| 90658 |
|
12 |
12 |
$184.41 |
| 99454 |
|
24 |
24 |
$138.50 |
| 99457 |
|
38 |
36 |
$128.07 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
47 |
46 |
$112.42 |
| 99453 |
|
23 |
12 |
$87.20 |