| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,313 |
2,814 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,572 |
1,354 |
$92K |
| 99215 |
Prolong outpt/office vis |
40 |
25 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
17 |
15 |
$328.50 |
| 0012A |
|
17 |
17 |
$283.91 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
85 |
84 |
$197.80 |
| 0011A |
|
26 |
23 |
$169.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$141.76 |