| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
680 |
585 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
291 |
269 |
$12K |
| 99487 |
Ccm add 20min |
34 |
34 |
$2K |
| 99490 |
Ccm add 20min |
227 |
227 |
$2K |
| 99401 |
|
104 |
90 |
$2K |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
169 |
160 |
$974.75 |
| 90756 |
|
30 |
30 |
$463.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$386.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$313.54 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$287.10 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
556 |
478 |
$4.50 |
| 1036F |
|
32 |
30 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
39 |
$0.00 |