| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,356 |
1,176 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,009 |
816 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83 |
73 |
$2K |
| 81003 |
|
946 |
838 |
$2K |
| 93000 |
|
15 |
12 |
$197.00 |
| 90686 |
|
27 |
23 |
$59.54 |
| 99173 |
|
15 |
14 |
$16.86 |
| 36415 |
Collection of venous blood by venipuncture |
23 |
17 |
$15.60 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
523 |
414 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
238 |
208 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
176 |
149 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,082 |
893 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
116 |
96 |
$0.00 |