| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,570 |
1,432 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
849 |
830 |
$51K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
153 |
153 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
99 |
$7K |
| 93000 |
|
347 |
346 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
52 |
$2K |
| 90688 |
|
115 |
115 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
131 |
131 |
$2K |
| 3017F |
|
67 |
62 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
44 |
43 |
$0.00 |
| 1036F |
|
169 |
156 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
42 |
42 |
$0.00 |
| 4004F |
|
53 |
48 |
$0.00 |