| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,156 |
3,682 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,199 |
1,121 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,280 |
1,245 |
$40K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
460 |
459 |
$32K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,212 |
688 |
$13K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
165 |
64 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
605 |
586 |
$8K |
| 93000 |
|
621 |
616 |
$7K |
| 90756 |
|
223 |
220 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,697 |
2,582 |
$5K |
| 90658 |
|
152 |
148 |
$2K |
| 90656 |
|
130 |
129 |
$2K |
| 1124F |
|
94 |
50 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
160 |
146 |
$0.00 |
| 1159F |
|
90 |
50 |
$0.00 |
| 1160F |
|
90 |
50 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
85 |
48 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
171 |
161 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
35 |
33 |
$0.00 |
| 1101F |
|
113 |
60 |
$0.00 |
| 1126F |
|
26 |
14 |
$0.00 |
| 3074F |
|
49 |
28 |
$0.00 |
| 1170F |
|
80 |
45 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
20 |
18 |
$0.00 |