| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
170 |
156 |
$196.12 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
37 |
$31.47 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
122 |
107 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
28 |
$0.00 |
| 3044F |
|
28 |
25 |
$0.00 |
| 3075F |
|
29 |
28 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
47 |
$0.00 |
| 3074F |
|
102 |
95 |
$0.00 |
| 3079F |
|
31 |
27 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
44 |
38 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
28 |
26 |
$0.00 |
| 3008F |
|
40 |
39 |
$0.00 |
| 1126F |
|
22 |
19 |
$0.00 |
| 1036F |
|
51 |
47 |
$0.00 |
| 1170F |
|
29 |
26 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
12 |
$0.00 |
| 1125F |
|
16 |
15 |
$0.00 |
| 3078F |
|
59 |
55 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
110 |
97 |
$0.00 |
| 1159F |
|
26 |
24 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
31 |
28 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
52 |
48 |
$0.00 |
| 1160F |
|
25 |
23 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
39 |
31 |
$0.00 |