| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,008 |
733 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
334 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
28 |
$322.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$116.88 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
46 |
$75.24 |