| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,241 |
3,974 |
$314K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
839 |
826 |
$92K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
125 |
124 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
685 |
683 |
$11K |
| 90688 |
|
532 |
531 |
$10K |
| 93000 |
|
401 |
401 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,787 |
2,717 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
42 |
$2K |
| 99441 |
|
15 |
15 |
$712.11 |
| 90686 |
|
34 |
34 |
$473.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
43 |
$439.85 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
96 |
94 |
$0.00 |
| 99000 |
|
2,141 |
2,086 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
33 |
32 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
98 |
94 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
55 |
54 |
$0.00 |