| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
181 |
132 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
80 |
41 |
$12.60 |
| 99000 |
|
125 |
76 |
$0.00 |
| 36416 |
|
16 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
18 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
22 |
13 |
$0.00 |