| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,057 |
2,385 |
$238K |
| 99490 |
Ccm add 20min |
1,897 |
1,895 |
$19K |
| 99215 |
Prolong outpt/office vis |
49 |
41 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
63 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
30 |
29 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
29 |
28 |
$2K |
| 93000 |
|
94 |
92 |
$1K |
| 96127 |
|
50 |
48 |
$221.37 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$135.09 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$102.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |