| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
189 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
65 |
56 |
$10.50 |
| 81002 |
|
17 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
58 |
54 |
$0.00 |
| 36416 |
|
30 |
26 |
$0.00 |
| 99000 |
|
118 |
101 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
33 |
$0.00 |