| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,352 |
4,428 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,287 |
3,461 |
$162K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
328 |
326 |
$2K |
| 90674 |
|
66 |
31 |
$2K |
| 83037 |
|
243 |
193 |
$767.10 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$762.48 |
| 0011A |
|
18 |
18 |
$732.10 |
| 0012A |
|
16 |
16 |
$689.96 |
| 90688 |
|
21 |
17 |
$303.28 |
| 36416 |
|
82 |
70 |
$94.30 |
| 36415 |
Collection of venous blood by venipuncture |
196 |
180 |
$75.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
697 |
620 |
$14.60 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
134 |
111 |
$0.00 |
| 3078F |
|
421 |
363 |
$0.00 |
| 3288F |
|
25 |
24 |
$0.00 |
| 3074F |
|
489 |
422 |
$0.00 |
| 1036F |
|
483 |
400 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
140 |
115 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 3079F |
|
56 |
54 |
$0.00 |
| 3075F |
|
120 |
94 |
$0.00 |
| 1157F |
|
13 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
13 |
$0.00 |