| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,927 |
2,274 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,290 |
1,048 |
$34K |
| Q3014 |
Telehealth originating site facility fee |
1,562 |
1,213 |
$33K |
| 94760 |
|
1,852 |
1,382 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
49 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$596.00 |
| 3008F |
|
173 |
133 |
$500.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$244.94 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
183 |
136 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
189 |
137 |
$0.00 |
| 99072 |
|
22 |
18 |
$0.00 |