| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
600 |
537 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
19 |
$524.46 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
15 |
13 |
$13.30 |
| 3044F |
|
175 |
163 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
275 |
225 |
$0.00 |
| 4037F |
|
69 |
64 |
$0.00 |
| 3079F |
|
128 |
116 |
$0.00 |
| 3008F |
|
738 |
633 |
$0.00 |
| 3074F |
|
307 |
279 |
$0.00 |
| 1036F |
|
96 |
88 |
$0.00 |
| 3075F |
|
32 |
30 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
54 |
52 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
213 |
178 |
$0.00 |
| 3725F |
|
190 |
171 |
$0.00 |
| 3078F |
|
277 |
251 |
$0.00 |