| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,281 |
1,231 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
474 |
468 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$979.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$343.20 |
| G0008 |
Administration of influenza virus vaccine |
29 |
27 |
$325.16 |
| 90686 |
|
22 |
22 |
$176.00 |
| 92551 |
|
42 |
42 |
$147.61 |
| 99173 |
|
43 |
43 |
$97.60 |
| G8482 |
Influenza immunization administered or previously received |
50 |
48 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
26 |
25 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
272 |
265 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
86 |
84 |
$0.00 |
| 3078F |
|
269 |
261 |
$0.00 |
| 4004F |
|
46 |
43 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
94 |
92 |
$0.00 |
| 3074F |
|
430 |
413 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
61 |
58 |
$0.00 |
| 1036F |
|
91 |
89 |
$0.00 |
| 3079F |
|
167 |
165 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
190 |
189 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
45 |
42 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
89 |
87 |
$0.00 |
| 3017F |
|
14 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
70 |
67 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
13 |
12 |
$0.00 |