| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,930 |
985 |
$34K |
| 99215 |
Prolong outpt/office vis |
166 |
117 |
$5K |
| 99199 |
Unlisted special service, procedure or report |
53 |
36 |
$356.67 |
| 36415 |
Collection of venous blood by venipuncture |
561 |
351 |
$145.63 |
| 93000 |
|
16 |
12 |
$64.60 |
| 90686 |
|
55 |
15 |
$53.70 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
16 |
$10.61 |
| G0008 |
Administration of influenza virus vaccine |
44 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
16 |
$0.00 |