| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
477 |
380 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
57 |
$1K |
| 90682 |
|
12 |
12 |
$816.43 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
63 |
60 |
$545.88 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
49 |
47 |
$353.80 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
63 |
$314.70 |
| 99408 |
|
12 |
12 |
$280.29 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$94.01 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
14 |
12 |
$73.50 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
14 |
12 |
$73.50 |