| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212 |
183 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
230 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$250.25 |
| 90656 |
|
13 |
13 |
$17.69 |
| 81003 |
|
12 |
12 |
$11.65 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
201 |
170 |
$0.00 |
| 1036F |
|
105 |
91 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
143 |
125 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
13 |
12 |
$0.00 |