| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
928 |
753 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
457 |
335 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
681 |
405 |
$5K |
| 90756 |
|
65 |
54 |
$564.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
25 |
$187.83 |
| 90674 |
|
35 |
25 |
$154.94 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
112 |
99 |
$80.13 |
| 3044F |
|
1,285 |
964 |
$0.00 |
| 3048F |
|
509 |
386 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
334 |
258 |
$0.00 |
| 3049F |
|
160 |
113 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
15 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
15 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
831 |
642 |
$0.00 |
| 3050F |
|
14 |
13 |
$0.00 |