| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,177 |
1,034 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,628 |
1,402 |
$58K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
100 |
90 |
$4K |
| 90756 |
|
188 |
169 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
44 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
290 |
262 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
182 |
164 |
$2K |
| 82962 |
|
483 |
434 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
16 |
$949.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
14 |
$183.82 |
| 1160F |
|
1,595 |
1,361 |
$0.00 |
| 3078F |
|
310 |
269 |
$0.00 |
| 4013F |
|
66 |
62 |
$0.00 |
| 1159F |
|
82 |
55 |
$0.00 |
| 4004F |
|
46 |
45 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
57 |
49 |
$0.00 |
| 1036F |
|
511 |
435 |
$0.00 |
| 3008F |
|
1,653 |
1,424 |
$0.00 |
| 3074F |
|
319 |
277 |
$0.00 |
| 1030F |
|
47 |
41 |
$0.00 |
| 3079F |
|
36 |
34 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
59 |
50 |
$0.00 |
| 4000F |
|
61 |
55 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
54 |
40 |
$0.00 |
| 3075F |
|
56 |
53 |
$0.00 |