| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
816 |
706 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
65 |
$1K |
| 99442 |
|
18 |
14 |
$30.32 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
32 |
27 |
$27.76 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,150 |
823 |
$0.00 |
| 82962 |
|
13 |
12 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
215 |
156 |
$0.00 |
| 1126F |
|
561 |
401 |
$0.00 |
| 1125F |
|
777 |
572 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
149 |
137 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
909 |
643 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
533 |
387 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,363 |
953 |
$0.00 |
| 0521F |
|
38 |
26 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |