| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,318 |
1,779 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,904 |
1,382 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
31 |
$733.90 |
| 90674 |
|
33 |
27 |
$486.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
18 |
$219.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
25 |
$177.32 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
16 |
13 |
$100.62 |
| G0008 |
Administration of influenza virus vaccine |
38 |
32 |
$68.28 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
62 |
50 |
$0.00 |