| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
640 |
627 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
512 |
499 |
$35K |
| 94060 |
|
98 |
98 |
$5K |
| 94729 |
|
98 |
98 |
$4K |
| 94621 |
|
27 |
27 |
$4K |
| 94727 |
|
98 |
98 |
$3K |
| 96127 |
|
290 |
288 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
440 |
433 |
$723.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
47 |
$659.05 |
| 93000 |
|
27 |
27 |
$434.82 |
| 90756 |
|
20 |
20 |
$393.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
134 |
134 |
$0.08 |
| 3016F |
|
188 |
187 |
$0.00 |
| 3725F |
|
82 |
82 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
264 |
263 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
30 |
$0.00 |
| 1036F |
|
143 |
142 |
$0.00 |
| 3008F |
|
217 |
215 |
$0.00 |
| 1000F |
|
171 |
170 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
266 |
265 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
202 |
201 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |