| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,407 |
1,966 |
$139K |
| 99223 |
Prolong inpt eval add15 m |
821 |
734 |
$82K |
| 99215 |
Prolong outpt/office vis |
97 |
83 |
$8K |
| 1036F |
|
1,802 |
1,358 |
$3K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,972 |
1,475 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139 |
81 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,013 |
828 |
$1K |
| 90756 |
|
100 |
92 |
$910.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
45 |
$152.14 |
| 4004F |
|
34 |
25 |
$12.00 |
| 80061 |
Lipid panel |
16 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
13 |
$0.00 |