| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,096 |
889 |
$138.04 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$73.48 |
| 36415 |
Collection of venous blood by venipuncture |
181 |
153 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
22 |
16 |
$0.00 |
| 3074F |
|
19 |
14 |
$0.00 |
| 3079F |
|
53 |
44 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| 90688 |
|
24 |
18 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
13 |
$0.00 |
| 1160F |
|
13 |
12 |
$0.00 |