| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,641 |
2,321 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,185 |
1,063 |
$37K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,837 |
1,239 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,069 |
863 |
$12K |
| 99336 |
|
19 |
13 |
$304.12 |
| 93000 |
|
25 |
24 |
$280.39 |
| 99423 |
|
15 |
13 |
$202.96 |
| 99408 |
|
13 |
13 |
$189.91 |
| 96127 |
|
69 |
65 |
$143.39 |
| 90662 |
|
33 |
32 |
$83.01 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
23 |
17 |
$58.44 |
| G0008 |
Administration of influenza virus vaccine |
43 |
42 |
$23.00 |
| 3288F |
|
234 |
223 |
$0.00 |
| 3078F |
|
31 |
29 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
16 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
17 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
12 |
$0.00 |
| 3074F |
|
40 |
38 |
$0.00 |
| 99349 |
|
33 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
20 |
14 |
$0.00 |
| 2000F |
|
16 |
12 |
$0.00 |