| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
16 |
$132.98 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
12 |
$85.32 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
74 |
57 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
38 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
12 |
$0.00 |