| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82 |
71 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
108 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
78 |
65 |
$23.10 |
| 81002 |
|
14 |
14 |
$0.00 |
| 36416 |
|
50 |
45 |
$0.00 |
| 99000 |
|
129 |
111 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
49 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |