| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,784 |
1,564 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
757 |
645 |
$22K |
| 90686 |
|
136 |
125 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
64 |
$970.37 |
| 36415 |
Collection of venous blood by venipuncture |
507 |
457 |
$927.66 |
| 96127 |
|
12 |
12 |
$45.86 |
| 3074F |
|
115 |
103 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
84 |
78 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
620 |
547 |
$0.00 |
| 3078F |
|
132 |
115 |
$0.00 |