| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
941 |
837 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
404 |
$21K |
| 90686 |
|
51 |
38 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
29 |
28 |
$425.59 |
| 90656 |
|
16 |
15 |
$308.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |