| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,453 |
2,669 |
$73K |
| 99497 |
|
355 |
352 |
$18K |
| 90756 |
|
13 |
13 |
$321.29 |
| 1126F |
|
178 |
176 |
$0.00 |
| 1101F |
|
253 |
250 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
2,226 |
1,652 |
$0.00 |
| 3074F |
|
838 |
667 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
731 |
531 |
$0.00 |
| 1170F |
|
301 |
298 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
295 |
291 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
84 |
67 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
27 |
$0.00 |
| 1125F |
|
81 |
80 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$0.00 |
| 3079F |
|
49 |
41 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,224 |
1,650 |
$0.00 |
| 0521F |
|
103 |
101 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
307 |
218 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
295 |
292 |
$0.00 |
| 3078F |
|
107 |
90 |
$0.00 |