| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
899 |
832 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
469 |
430 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
462 |
273 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$166.06 |
| 90461 |
|
18 |
13 |
$120.40 |
| 92551 |
|
44 |
44 |
$38.16 |
| 90686 |
|
64 |
62 |
$18.51 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
903 |
814 |
$0.67 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
102 |
89 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
958 |
829 |
$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) |
435 |
401 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
684 |
614 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
622 |
561 |
$0.00 |
| 4040F |
|
45 |
36 |
$0.00 |
| 3288F |
|
37 |
26 |
$0.00 |
| 1036F |
|
915 |
806 |
$0.00 |
| 1111F |
|
158 |
130 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
46 |
44 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
372 |
332 |
$0.00 |