| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
976 |
945 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
94 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
47 |
47 |
$5K |
| 82947 |
|
368 |
350 |
$1K |
| 90674 |
|
36 |
36 |
$926.10 |
| 36415 |
Collection of venous blood by venipuncture |
210 |
205 |
$569.08 |
| G0008 |
Administration of influenza virus vaccine |
38 |
38 |
$292.60 |
| 99406 |
|
18 |
18 |
$159.12 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
324 |
312 |
$0.00 |
| 1036F |
|
554 |
521 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
871 |
831 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
519 |
491 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
843 |
809 |
$0.00 |
| 3288F |
|
940 |
891 |
$0.00 |
| 4004F |
|
346 |
335 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
74 |
72 |
$0.00 |