| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
113 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
123 |
$8K |
| 99497 |
|
85 |
85 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
86 |
86 |
$1K |
| 90756 |
|
25 |
25 |
$677.88 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
91 |
91 |
$432.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$315.72 |
| 90688 |
|
14 |
14 |
$253.86 |
| 36415 |
Collection of venous blood by venipuncture |
455 |
450 |
$64.16 |