| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,876 |
3,818 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,088 |
962 |
$42K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
90 |
85 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,502 |
1,463 |
$3K |
| 93000 |
|
234 |
232 |
$3K |
| 90756 |
|
151 |
143 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
135 |
$2K |
| 90674 |
|
33 |
33 |
$302.83 |
| 90686 |
|
23 |
23 |
$145.60 |
| G0008 |
Administration of influenza virus vaccine |
49 |
49 |
$34.50 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
39 |
27 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
12 |
12 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| 1100F |
|
12 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
20 |
12 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |