| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
2,841 |
2,760 |
$245K |
| 99213 |
|
1,163 |
1,120 |
$67K |
| 99204 |
|
213 |
213 |
$27K |
| 90756 |
|
69 |
68 |
$2K |
| 90471 |
|
91 |
90 |
$1K |
| 90688 |
|
33 |
33 |
$674.10 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
37 |
37 |
$98.53 |
| 36415 |
|
56 |
56 |
$13.50 |
| 1124F |
|
253 |
247 |
$0.00 |
| M1168 |
Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period |
164 |
162 |
$0.00 |
| M1175 |
Documentation of medical reason(s) for not administering zoster vaccine (e.g., prior anaphylaxis due to the zoster vaccine) |
376 |
368 |
$0.00 |
| M1178 |
Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g., prior anaphylaxis due to the pneumococcal vaccine) |
345 |
338 |
$0.00 |
| M1172 |
Documentation of medical reason(s) for not administering td or tdap vaccine (e.g., prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine) |
340 |
332 |
$0.00 |
| M1169 |
Documentation of medical reason(s) for not administering influenza vaccine (e.g., prior anaphylaxis due to the influenza vaccine) |
179 |
172 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
400 |
390 |
$0.00 |
| M1177 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
14 |
14 |
$0.00 |
| M1171 |
Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period |
27 |
27 |
$0.00 |