| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
179 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
178 |
171 |
$5K |
| 20611 |
|
13 |
13 |
$597.84 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
88 |
85 |
$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) |
268 |
261 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
680 |
655 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
662 |
639 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
172 |
165 |
$0.00 |