| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
888 |
808 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
416 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
286 |
165 |
$16K |
| 3008F |
|
622 |
551 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$1K |
| 96127 |
|
166 |
151 |
$851.69 |
| 99000 |
|
276 |
257 |
$282.32 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
165 |
$278.49 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
13 |
$124.15 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$33.54 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
13 |
13 |
$0.00 |