| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
365 |
323 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
252 |
215 |
$10K |
| 93000 |
|
12 |
12 |
$216.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$48.70 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$47.19 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$25.55 |