| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,812 |
4,256 |
$331K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,566 |
449 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
85 |
$8K |
| 97161 |
|
51 |
51 |
$3K |
| 99401 |
|
188 |
187 |
$3K |
| 81002 |
|
1,060 |
1,027 |
$2K |
| 90674 |
|
63 |
63 |
$1K |
| 97124 |
|
69 |
25 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
69 |
25 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 93000 |
|
54 |
53 |
$735.77 |
| 97032 |
|
69 |
25 |
$677.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
86 |
$606.74 |
| 97035 |
|
69 |
25 |
$585.97 |
| 36415 |
Collection of venous blood by venipuncture |
1,925 |
1,837 |
$366.52 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
111 |
105 |
$62.31 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
55 |
55 |
$62.31 |
| 99000 |
|
18 |
18 |
$0.00 |