| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
686 |
596 |
$29K |
| 90834 |
Psychotherapy, 45 minutes with patient |
269 |
205 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
301 |
$13K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
563 |
437 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
16 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
236 |
195 |
$150.62 |
| 90686 |
|
29 |
25 |
$148.18 |
| 99000 |
|
63 |
50 |
$47.84 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
40 |
$13.60 |
| G0008 |
Administration of influenza virus vaccine |
17 |
13 |
$0.00 |