| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
159 |
$8K |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
162 |
160 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
58 |
57 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
144 |
142 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
115 |
113 |
$0.00 |