| Code | Description | Claims | Beneficiaries | Total Paid |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
127 |
53 |
$417.78 |
| G8482 |
Influenza immunization administered or previously received |
98 |
82 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
139 |
124 |
$0.00 |
| 90756 |
|
22 |
20 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
66 |
52 |
$0.00 |
| 3017F |
|
49 |
46 |
$0.00 |
| 1036F |
|
67 |
50 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
657 |
607 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
78 |
72 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
68 |
65 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175 |
153 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
158 |
142 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
41 |
41 |
$0.00 |
| 90688 |
|
33 |
31 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
14 |
13 |
$0.00 |