| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
778 |
685 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
94 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
46 |
$2K |
| 90686 |
|
71 |
53 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
63 |
52 |
$748.20 |
| 36415 |
Collection of venous blood by venipuncture |
67 |
64 |
$20.00 |