| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,595 |
3,372 |
$153K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,141 |
895 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
54 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,895 |
1,813 |
$3K |
| 82947 |
|
842 |
818 |
$1K |
| 90686 |
|
60 |
60 |
$499.87 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
13 |
$428.11 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
73 |
73 |
$395.00 |
| 90674 |
|
20 |
20 |
$217.96 |
| 90658 |
|
13 |
13 |
$198.51 |
| 99307 |
|
16 |
12 |
$165.03 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$128.00 |
| 1126F |
|
57 |
57 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
69 |
69 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
65 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
38 |
38 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
26 |
26 |
$0.00 |
| 1101F |
|
72 |
72 |
$0.00 |
| 1159F |
|
110 |
109 |
$0.00 |
| 1160F |
|
108 |
107 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
53 |
53 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
17 |
17 |
$0.00 |