| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,229 |
4,905 |
$399K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
223 |
217 |
$11K |
| 99215 |
Prolong outpt/office vis |
27 |
26 |
$3K |
| 99386 |
|
31 |
30 |
$2K |
| 93000 |
|
147 |
142 |
$1K |
| 90756 |
|
33 |
33 |
$683.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
54 |
$458.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
128 |
123 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
43 |
40 |
$0.00 |