| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
780 |
671 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,811 |
2,161 |
$30K |
| 94060 |
|
1,959 |
1,569 |
$30K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
120 |
29 |
$22K |
| 94729 |
|
1,930 |
1,544 |
$10K |
| 94726 |
|
1,898 |
1,519 |
$9K |
| 1036F |
|
2,834 |
2,307 |
$8K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
13 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,875 |
1,473 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,309 |
260 |
$746.85 |
| 1159F |
|
885 |
798 |
$179.83 |
| 99222 |
Initial hospital care, per day, moderate complexity |
211 |
166 |
$62.55 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,066 |
834 |
$15.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,247 |
949 |
$15.00 |
| 3080F |
|
293 |
254 |
$0.00 |
| 3074F |
|
1,050 |
956 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
209 |
177 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
17 |
12 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
75 |
66 |
$0.00 |
| 3079F |
|
75 |
72 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
2,617 |
2,129 |
$0.00 |
| 4040F |
|
2,413 |
2,030 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,009 |
814 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
811 |
683 |
$0.00 |
| 3078F |
|
79 |
75 |
$0.00 |