| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,243 |
1,139 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$864.40 |
| 96160 |
|
15 |
15 |
$35.08 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
41 |
$23.07 |
| 1125F |
|
14 |
14 |
$0.01 |
| 0521F |
|
13 |
13 |
$0.01 |
| 1157F |
|
15 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
19 |
18 |
$0.00 |
| 1159F |
|
17 |
16 |
$0.00 |
| 3725F |
|
15 |
14 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
14 |
$0.00 |
| 1494F |
|
12 |
12 |
$0.00 |