| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,748 |
1,534 |
$106K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
626 |
572 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
278 |
273 |
$885.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$629.31 |
| 90674 |
|
22 |
22 |
$438.24 |
| 93000 |
|
24 |
24 |
$334.56 |
| 90756 |
|
12 |
12 |
$235.51 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$196.04 |
| 82948 |
|
13 |
13 |
$42.36 |
| 1159F |
|
28 |
27 |
$0.00 |