| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
978 |
976 |
$33K |
| 99442 |
|
17 |
17 |
$393.37 |
| 93922 |
|
16 |
16 |
$307.40 |
| 95921 |
|
15 |
15 |
$183.72 |
| 95923 |
|
15 |
15 |
$36.12 |
| G8484 |
Influenza immunization was not administered, reason not given |
51 |
51 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
79 |
79 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
69 |
69 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
24 |
24 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
51 |
51 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
13 |
13 |
$0.00 |
| 1036F |
|
55 |
55 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |