| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,146 |
2,934 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$770.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
42 |
$722.93 |
| 90688 |
|
38 |
27 |
$124.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$85.70 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
571 |
472 |
$0.45 |
| G9275 |
Documentation that patient is a current non-tobacco user |
93 |
44 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
12 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
50 |
12 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
179 |
100 |
$0.00 |
| G9276 |
Documentation that patient is a current tobacco user |
55 |
15 |
$0.00 |