| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,009 |
1,992 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
445 |
443 |
$18K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
126 |
109 |
$905.53 |
| 90686 |
|
229 |
229 |
$644.79 |
| 90662 |
|
39 |
39 |
$250.47 |
| 99442 |
|
24 |
22 |
$243.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
53 |
$211.61 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
36 |
36 |
$0.00 |
| 3078F |
|
24 |
24 |
$0.00 |
| 1160F |
|
51 |
51 |
$0.00 |
| 1159F |
|
51 |
51 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
18 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
186 |
186 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
194 |
194 |
$0.00 |
| 99429 |
|
322 |
310 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
28 |
28 |
$0.00 |
| 90677 |
|
27 |
27 |
$0.00 |
| 4010F |
|
18 |
18 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
40 |
40 |
$0.00 |
| 3074F |
|
28 |
28 |
$0.00 |
| 3079F |
|
15 |
15 |
$0.00 |