| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,920 |
1,916 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,074 |
1,048 |
$43K |
| 99441 |
|
223 |
204 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
226 |
225 |
$1K |
| 90674 |
|
20 |
20 |
$280.73 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
72 |
71 |
$260.05 |
| 1160F |
|
208 |
201 |
$12.23 |
| 1125F |
|
43 |
43 |
$11.90 |
| 1170F |
|
51 |
51 |
$9.35 |
| 1159F |
|
172 |
169 |
$9.35 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
185 |
183 |
$0.00 |
| 3008F |
|
163 |
161 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
81 |
80 |
$0.00 |
| 99429 |
|
68 |
67 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
51 |
51 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
61 |
61 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
165 |
164 |
$0.00 |