| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
361 |
345 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
366 |
$10K |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
224 |
210 |
$16.35 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
320 |
300 |
$8.85 |
| 3078F |
|
370 |
340 |
$0.00 |
| 90662 |
|
22 |
22 |
$0.00 |
| 1160F |
|
16 |
15 |
$0.00 |
| 2000F |
|
294 |
269 |
$0.00 |
| 3074F |
|
276 |
252 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
23 |
23 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
24 |
24 |
$0.00 |
| 3048F |
|
14 |
14 |
$0.00 |
| 3044F |
|
14 |
13 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |