| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,011 |
1,826 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
424 |
384 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
107 |
$3K |
| 90682 |
|
58 |
58 |
$2K |
| 99497 |
|
138 |
137 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
199 |
192 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
575 |
554 |
$908.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
53 |
$609.50 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
203 |
195 |
$516.11 |
| 90630 |
|
12 |
12 |
$252.00 |
| 99406 |
|
68 |
63 |
$244.26 |
| G8482 |
Influenza immunization administered or previously received |
233 |
182 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
250 |
226 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
662 |
565 |
$0.00 |
| G9781 |
Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g., patients with statin-associated muscle symptoms or an allergy to statin medication therapy, patients who are receiving palliative or hospice care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease [esrd], or other medical reasons) |
14 |
13 |
$0.00 |
| 94150 |
|
16 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
687 |
589 |
$0.00 |
| 94760 |
|
642 |
535 |
$0.00 |
| 2000F |
|
618 |
520 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
60 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
499 |
429 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
51 |
39 |
$0.00 |
| G9964 |
Patient received at least one well-child visit with a pcp during the performance period |
40 |
37 |
$0.00 |