| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,942 |
1,775 |
$30K |
| 99215 |
Prolong outpt/office vis |
70 |
62 |
$6K |
| 90756 |
|
146 |
146 |
$3K |
| 96156 |
|
96 |
96 |
$2K |
| H0049 |
Alcohol and/or drug screening |
33 |
33 |
$696.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
60 |
$666.48 |
| 99497 |
|
41 |
41 |
$628.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
82 |
$338.66 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
74 |
74 |
$332.66 |
| 96151 |
|
44 |
44 |
$272.26 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
44 |
44 |
$250.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$23.00 |
| 96127 |
|
12 |
12 |
$12.40 |
| 3008F |
|
55 |
50 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| 3074F |
|
15 |
13 |
$0.00 |
| 3078F |
|
13 |
12 |
$0.00 |