| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,894 |
10,033 |
$814K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,697 |
3,288 |
$264K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,076 |
922 |
$115K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
415 |
365 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
521 |
447 |
$25K |
| 90688 |
|
562 |
525 |
$10K |
| 90756 |
|
360 |
239 |
$6K |
| 93000 |
|
119 |
113 |
$4K |
| 0004A |
|
102 |
74 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
338 |
278 |
$1K |
| 0064A |
|
36 |
36 |
$979.83 |
| 3288F |
|
60 |
60 |
$450.50 |
| 90658 |
|
31 |
27 |
$419.52 |
| 36410 |
|
72 |
64 |
$416.77 |
| 1170F |
|
28 |
28 |
$277.03 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
338 |
337 |
$171.56 |
| G0008 |
Administration of influenza virus vaccine |
451 |
353 |
$159.09 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
391 |
389 |
$71.13 |
| 91300 |
|
116 |
81 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
13 |
13 |
$0.00 |
| 91306 |
|
18 |
18 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |