| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,086 |
2,737 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,075 |
2,560 |
$139K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
100 |
94 |
$8K |
| 96127 |
|
475 |
384 |
$7K |
| 99490 |
Ccm add 20min |
32 |
32 |
$425.02 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$131.40 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
15 |
14 |
$0.00 |