| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,302 |
2,204 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,956 |
2,812 |
$143K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
125 |
124 |
$11K |
| 99215 |
Prolong outpt/office vis |
84 |
81 |
$7K |
| 90682 |
|
80 |
79 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
75 |
$456.40 |
| 90658 |
|
14 |
14 |
$113.70 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$61.38 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
358 |
349 |
$0.00 |
| 3077F |
|
189 |
187 |
$0.00 |
| 3078F |
|
373 |
362 |
$0.00 |
| 3075F |
|
97 |
97 |
$0.00 |
| 3079F |
|
90 |
90 |
$0.00 |
| 3080F |
|
153 |
152 |
$0.00 |
| 3074F |
|
335 |
328 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
289 |
282 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |