| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,716 |
2,391 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
695 |
629 |
$18K |
| 93924 |
|
305 |
287 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$2K |
| 93000 |
|
91 |
87 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$1K |
| 90672 |
|
14 |
14 |
$284.40 |
| 93922 |
|
13 |
13 |
$201.22 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$138.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
38 |
38 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
50 |
40 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |