| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
512 |
458 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
559 |
499 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
30 |
$568.96 |
| 90688 |
|
12 |
12 |
$93.65 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$27.55 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
143 |
132 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
32 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
91 |
78 |
$0.00 |
| 3017F |
|
41 |
35 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
31 |
28 |
$0.00 |
| 3014F |
|
13 |
12 |
$0.00 |