| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,966 |
1,848 |
$27K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
31 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
113 |
102 |
$633.23 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
60 |
59 |
$601.82 |
| 93000 |
|
77 |
76 |
$370.54 |
| G0008 |
Administration of influenza virus vaccine |
55 |
49 |
$358.96 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$355.34 |
| 90656 |
|
43 |
35 |
$170.72 |
| 99490 |
Ccm add 20min |
12 |
12 |
$163.74 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$146.14 |
| 36415 |
Collection of venous blood by venipuncture |
251 |
233 |
$63.62 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
93 |
92 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
91 |
90 |
$0.00 |