| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,429 |
5,039 |
$373K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
1,066 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
204 |
204 |
$20K |
| 99215 |
Prolong outpt/office vis |
136 |
124 |
$13K |
| 93000 |
|
719 |
709 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
1,154 |
1,104 |
$5K |
| 81025 |
|
670 |
638 |
$4K |
| 81002 |
|
1,305 |
1,248 |
$4K |
| 99385 |
|
36 |
36 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$3K |
| 96160 |
|
595 |
548 |
$2K |
| 94760 |
|
1,281 |
1,095 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
91 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
13 |
$1K |
| 99000 |
|
196 |
176 |
$751.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
39 |
$526.28 |
| 86580 |
|
45 |
33 |
$427.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$144.45 |
| 1126F |
|
642 |
556 |
$0.00 |
| 3037F |
|
1,223 |
1,042 |
$0.00 |
| 1125F |
|
47 |
42 |
$0.00 |
| 2001F |
|
1,184 |
1,018 |
$0.00 |
| 3008F |
|
1,724 |
1,497 |
$0.00 |
| 1036F |
|
297 |
248 |
$0.00 |
| 2000F |
|
1,325 |
1,136 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
200 |
177 |
$0.00 |
| 3074F |
|
975 |
874 |
$0.00 |
| 2010F |
|
1,235 |
1,052 |
$0.00 |
| 3079F |
|
128 |
113 |
$0.00 |
| 3120F |
|
27 |
26 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
155 |
130 |
$0.00 |
| 3035F |
|
20 |
17 |
$0.00 |
| 3078F |
|
667 |
607 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,026 |
887 |
$0.00 |
| 1160F |
|
1,081 |
945 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
143 |
119 |
$0.00 |
| 1159F |
|
1,275 |
1,091 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
133 |
111 |
$0.00 |