| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,732 |
2,034 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,367 |
867 |
$26K |
| 3074F |
|
1,575 |
998 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
804 |
439 |
$10K |
| 1036F |
|
1,614 |
764 |
$3K |
| 3078F |
|
1,637 |
1,032 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,150 |
1,112 |
$878.52 |
| 1007F |
|
1,667 |
978 |
$682.81 |
| G8484 |
Influenza immunization was not administered, reason not given |
390 |
197 |
$673.91 |
| 90682 |
|
44 |
31 |
$655.78 |
| G8482 |
Influenza immunization administered or previously received |
1,019 |
501 |
$484.61 |
| 1006F |
|
1,679 |
897 |
$470.02 |
| 4040F |
|
767 |
374 |
$456.12 |
| 99497 |
|
40 |
32 |
$413.61 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,117 |
1,092 |
$405.87 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
642 |
321 |
$381.80 |
| 1101F |
|
1,664 |
863 |
$378.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
13 |
$366.26 |
| 3288F |
|
1,711 |
886 |
$349.72 |
| 4004F |
|
55 |
34 |
$309.93 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
36 |
32 |
$227.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$135.73 |
| 36416 |
|
16 |
12 |
$74.15 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
36 |
31 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
23 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
13 |
$0.00 |