| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
116 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
52 |
$898.86 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
14 |
$0.00 |
| 99000 |
|
76 |
55 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
32 |
$0.00 |