| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
554 |
493 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
240 |
196 |
$13K |
| 90656 |
|
75 |
71 |
$932.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
28 |
$584.40 |
| 80305 |
|
12 |
12 |
$84.77 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
30 |
$59.70 |
| G8482 |
Influenza immunization administered or previously received |
14 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
14 |
$0.00 |