| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,697 |
1,470 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
410 |
383 |
$12K |
| 99490 |
Ccm add 20min |
122 |
122 |
$940.65 |
| 90686 |
|
39 |
39 |
$101.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$79.05 |
| 93000 |
|
15 |
15 |
$26.64 |
| 36415 |
Collection of venous blood by venipuncture |
332 |
321 |
$2.76 |
| 99429 |
|
240 |
199 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
131 |
116 |
$0.00 |
| 4037F |
|
12 |
12 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |