| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
243 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
227 |
$13K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
26 |
$539.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$327.20 |
| 90686 |
|
14 |
14 |
$238.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$28.86 |