| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
330 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
123 |
$5K |
| 90662 |
|
61 |
61 |
$166.98 |
| 99401 |
|
145 |
135 |
$101.88 |
| 96127 |
|
35 |
35 |
$72.38 |
| 99051 |
|
32 |
30 |
$22.91 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$3.75 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
364 |
330 |
$0.00 |
| 4037F |
|
12 |
12 |
$0.00 |
| 3075F |
|
43 |
41 |
$0.00 |
| 2000F |
|
388 |
353 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
59 |
59 |
$0.00 |
| 3074F |
|
223 |
199 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
239 |
221 |
$0.00 |
| 3078F |
|
398 |
348 |
$0.00 |
| 3077F |
|
91 |
82 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
27 |
25 |
$0.00 |