| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
323 |
255 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
291 |
238 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
39 |
27 |
$292.32 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
41 |
26 |
$292.32 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$70.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
50 |
36 |
$1.80 |
| 3078F |
|
283 |
199 |
$0.00 |
| 1160F |
|
141 |
100 |
$0.00 |
| 1159F |
|
204 |
139 |
$0.00 |
| 3074F |
|
248 |
184 |
$0.00 |
| 1125F |
|
138 |
103 |
$0.00 |
| 1126F |
|
57 |
42 |
$0.00 |