| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
55 |
$456.01 |
| 86580 |
|
31 |
30 |
$32.78 |
| 90674 |
|
31 |
31 |
$30.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$21.60 |
| 90686 |
|
32 |
32 |
$17.93 |
| 1036F |
|
400 |
352 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
45 |
45 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
72 |
66 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
365 |
336 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
64 |
58 |
$0.00 |