| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
798 |
755 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
63 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
998 |
932 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$84.00 |
| 81002 |
|
13 |
13 |
$34.56 |
| 1160F |
|
398 |
373 |
$0.96 |
| 3008F |
|
432 |
405 |
$0.11 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
50 |
48 |
$0.00 |
| 3351F |
|
58 |
57 |
$0.00 |