| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,154 |
1,053 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
786 |
756 |
$49K |
| 90686 |
|
42 |
42 |
$747.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$381.40 |
| 96127 |
|
12 |
12 |
$33.24 |
| 3078F |
|
76 |
72 |
$0.00 |
| 3074F |
|
127 |
117 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |