| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
78 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90 |
78 |
$10K |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
13 |
$540.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
17 |
$540.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
21 |
$472.26 |
| 3074F |
|
104 |
97 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
173 |
158 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3078F |
|
90 |
84 |
$0.00 |