| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,625 |
1,577 |
$346K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,069 |
786 |
$102K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
85 |
85 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
76 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
420 |
397 |
$8K |
| 90661 |
|
163 |
163 |
$6K |
| 90674 |
|
96 |
96 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,079 |
825 |
$2K |
| 3078F |
|
731 |
510 |
$2K |
| 3074F |
|
711 |
500 |
$1K |
| 93000 |
|
97 |
97 |
$1K |
| 96127 |
|
371 |
368 |
$668.15 |
| 36415 |
Collection of venous blood by venipuncture |
619 |
597 |
$561.36 |
| 3075F |
|
49 |
43 |
$95.00 |
| 3079F |
|
38 |
33 |
$65.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
25 |
25 |
$0.09 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
718 |
518 |
$0.00 |
| 1000F |
|
25 |
25 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 3725F |
|
850 |
649 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
715 |
519 |
$0.00 |