| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119 |
97 |
$880.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
252 |
184 |
$677.13 |
| 99000 |
|
166 |
126 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
84 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
71 |
57 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
53 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
30 |
$0.00 |
| 81002 |
|
104 |
75 |
$0.00 |