| Code | Description | Claims | Beneficiaries | Total Paid |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
38 |
$455.42 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$4.20 |
| 99000 |
|
45 |
43 |
$0.00 |
| 36416 |
|
29 |
29 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
104 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |