| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,578 |
3,876 |
$245K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
892 |
811 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
535 |
250 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
85 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
598 |
521 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
15 |
$915.15 |
| 36415 |
Collection of venous blood by venipuncture |
1,127 |
965 |
$552.00 |
| 87430 |
|
15 |
15 |
$193.05 |
| 3074F |
|
261 |
230 |
$133.63 |
| 90688 |
|
13 |
12 |
$69.33 |
| 3078F |
|
216 |
191 |
$10.06 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
549 |
448 |
$0.01 |
| 1160F |
|
36 |
30 |
$0.01 |
| 1159F |
|
36 |
30 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
417 |
338 |
$0.00 |
| 1126F |
|
113 |
99 |
$0.00 |
| 1125F |
|
162 |
129 |
$0.00 |
| 1036F |
|
992 |
789 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
45 |
40 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,768 |
1,370 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
314 |
256 |
$0.00 |
| 86328 |
|
35 |
30 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
46 |
37 |
$0.00 |
| 81003 |
|
17 |
13 |
$0.00 |