| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,979 |
2,681 |
$156K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,500 |
1,389 |
$51K |
| 80305 |
|
453 |
347 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$2K |
| 93000 |
|
40 |
39 |
$287.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$96.35 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
32 |
24 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
32 |
25 |
$0.00 |