| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,511 |
1,871 |
$88K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,256 |
1,825 |
$79K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
239 |
164 |
$5K |
| 93000 |
|
94 |
73 |
$736.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
25 |
$281.72 |
| 99454 |
|
15 |
15 |
$205.45 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
18 |
$192.71 |
| 99457 |
|
15 |
15 |
$172.34 |
| 90688 |
|
12 |
12 |
$166.01 |
| 99458 |
|
14 |
14 |
$110.12 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
16 |
$109.96 |
| 36415 |
Collection of venous blood by venipuncture |
61 |
59 |
$95.34 |
| 99490 |
Ccm add 20min |
76 |
50 |
$21.54 |