| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,037 |
1,826 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
890 |
847 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
156 |
148 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
369 |
201 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
173 |
161 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
89 |
86 |
$3K |
| 99219 |
|
45 |
41 |
$2K |
| 80305 |
|
217 |
210 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$469.05 |
| 81003 |
|
165 |
159 |
$230.33 |
| G0008 |
Administration of influenza virus vaccine |
45 |
44 |
$190.74 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
43 |
42 |
$190.74 |
| G8482 |
Influenza immunization administered or previously received |
46 |
45 |
$190.74 |
| 3074F |
|
258 |
245 |
$100.02 |
| 1034F |
|
70 |
68 |
$100.00 |
| 1036F |
|
406 |
379 |
$91.41 |
| 82570 |
|
12 |
12 |
$32.44 |
| 82044 |
|
12 |
12 |
$31.92 |
| 3078F |
|
155 |
144 |
$0.02 |
| 3008F |
|
790 |
729 |
$0.01 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
13 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
320 |
299 |
$0.00 |
| 1101F |
|
81 |
76 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 3079F |
|
38 |
36 |
$0.00 |
| 3075F |
|
13 |
13 |
$0.00 |
| G9793 |
Patient is currently on a daily aspirin or other antiplatelet |
14 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
244 |
230 |
$0.00 |
| 4004F |
|
64 |
63 |
$0.00 |