| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,869 |
10,693 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,754 |
3,521 |
$31K |
| 99243 |
|
64 |
64 |
$5K |
| 96127 |
|
1,798 |
1,794 |
$404.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$287.50 |
| 99349 |
|
24 |
24 |
$178.50 |
| 90686 |
|
12 |
12 |
$111.96 |
| 99442 |
|
45 |
42 |
$111.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
359 |
352 |
$63.21 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$60.00 |
| 81002 |
|
52 |
52 |
$12.28 |
| 99173 |
|
52 |
52 |
$10.00 |
| 99406 |
|
45 |
43 |
$8.12 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
713 |
637 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
82 |
73 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
33 |
$0.00 |
| 94760 |
|
27 |
25 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
708 |
632 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
425 |
394 |
$0.00 |