| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
460 |
279 |
$6K |
| 20553 |
|
249 |
156 |
$3K |
| 76942 |
|
49 |
26 |
$1K |
| 20611 |
|
45 |
36 |
$404.45 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
19 |
13 |
$78.39 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
278 |
183 |
$53.35 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
203 |
126 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
174 |
112 |
$0.00 |
| 4004F |
|
190 |
120 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
200 |
126 |
$0.00 |
| G9691 |
Patient had hospice services any time during the measurement period |
202 |
126 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
262 |
156 |
$0.00 |