| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,042 |
956 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
633 |
584 |
$48K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$680.52 |
| 99406 |
|
32 |
31 |
$256.52 |
| 90686 |
|
19 |
19 |
$228.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$224.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
78 |
78 |
$0.00 |