| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,413 |
6,204 |
$634K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
205 |
194 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
904 |
801 |
$22K |
| 94010 |
|
208 |
206 |
$4K |
| 90674 |
|
96 |
94 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$0.94 |
| G0008 |
Administration of influenza virus vaccine |
96 |
93 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,695 |
1,446 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
16 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
210 |
168 |
$0.00 |