| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,967 |
2,144 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
782 |
595 |
$14K |
| 90688 |
|
21 |
13 |
$107.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
14 |
$66.65 |
| 80305 |
|
12 |
12 |
$46.73 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16 |
15 |
$0.00 |
| 4004F |
|
16 |
15 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
31 |
$0.00 |
| G9664 |
Patients who are currently statin therapy users or received an order (prescription) for statin therapy |
14 |
13 |
$0.00 |