| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,081 |
2,632 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,019 |
875 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
68 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
124 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
14 |
$612.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
45 |
$579.66 |
| 1030F |
|
1,214 |
973 |
$470.57 |
| 36415 |
Collection of venous blood by venipuncture |
237 |
191 |
$197.12 |
| 1022F |
|
89 |
70 |
$0.07 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,077 |
851 |
$0.00 |
| 1036F |
|
673 |
552 |
$0.00 |
| 3074F |
|
193 |
148 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
19 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
302 |
232 |
$0.00 |
| 3078F |
|
217 |
167 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
84 |
66 |
$0.00 |