| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,644 |
1,310 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
291 |
275 |
$5K |
| 99442 |
|
116 |
99 |
$3K |
| 36410 |
|
262 |
258 |
$647.69 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
28 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
27 |
27 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 1101F |
|
14 |
14 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |