| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
504 |
445 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
343 |
$24K |
| 99442 |
|
21 |
14 |
$826.44 |
| 93000 |
|
41 |
41 |
$548.06 |
| 94060 |
|
12 |
12 |
$443.64 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
12 |
$308.85 |
| 90688 |
|
15 |
15 |
$253.99 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$186.66 |
| 99401 |
|
15 |
13 |
$136.58 |
| 36415 |
Collection of venous blood by venipuncture |
135 |
128 |
$92.94 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
78 |
70 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
18 |
17 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
78 |
70 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
434 |
366 |
$0.00 |
| 99000 |
|
111 |
104 |
$0.00 |