| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,410 |
1,339 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
414 |
$16K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
78 |
77 |
$1K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$818.56 |
| 90688 |
|
25 |
25 |
$284.16 |
| 36415 |
Collection of venous blood by venipuncture |
149 |
146 |
$240.58 |
| G0008 |
Administration of influenza virus vaccine |
58 |
57 |
$191.24 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
13 |
$87.36 |
| 90756 |
|
30 |
30 |
$43.94 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
14 |
14 |
$41.71 |
| 1126F |
|
93 |
88 |
$0.04 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
111 |
102 |
$0.00 |