| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,400 |
2,766 |
$54K |
| 36415 |
Collection of venous blood by venipuncture |
71 |
70 |
$164.09 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
49 |
49 |
$105.65 |
| 90688 |
|
12 |
12 |
$24.94 |
| G0008 |
Administration of influenza virus vaccine |
48 |
48 |
$24.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
19 |
19 |
$5.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
34 |
34 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
31 |
31 |
$0.00 |