| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,093 |
771 |
$14K |
| S9999 |
Sales tax |
779 |
484 |
$683.25 |
| 99215 |
Prolong outpt/office vis |
20 |
13 |
$230.79 |
| 99422 |
|
52 |
34 |
$80.58 |
| 3008F |
|
199 |
115 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
163 |
134 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
136 |
113 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
362 |
205 |
$0.00 |
| 3074F |
|
151 |
113 |
$0.00 |
| 1036F |
|
68 |
54 |
$0.00 |
| 3044F |
|
48 |
39 |
$0.00 |
| 1123F |
|
35 |
28 |
$0.00 |
| 3048F |
|
104 |
81 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
356 |
202 |
$0.00 |
| 3016F |
|
185 |
160 |
$0.00 |
| 3078F |
|
175 |
132 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
19 |
14 |
$0.00 |