| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
172 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
49 |
45 |
$5K |
| 99442 |
|
45 |
45 |
$3K |
| 99441 |
|
15 |
15 |
$704.37 |
| 99051 |
|
42 |
40 |
$227.72 |
| 99401 |
|
68 |
63 |
$226.58 |
| 3074F |
|
50 |
47 |
$30.00 |
| 3078F |
|
31 |
31 |
$12.50 |
| 3079F |
|
36 |
34 |
$7.50 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$3.00 |
| 82962 |
|
13 |
13 |
$2.62 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
31 |
30 |
$0.00 |
| 94760 |
|
54 |
50 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
25 |
24 |
$0.00 |