| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,931 |
3,778 |
$196K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,451 |
1,054 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,960 |
1,591 |
$30K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
76 |
$6K |
| 90674 |
|
179 |
139 |
$3K |
| 3044F |
|
3,972 |
2,926 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
208 |
167 |
$2K |
| 90756 |
|
89 |
66 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,170 |
908 |
$1K |
| 0011A |
|
20 |
14 |
$704.00 |
| 90686 |
|
28 |
26 |
$284.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
75 |
56 |
$34.65 |
| G0008 |
Administration of influenza virus vaccine |
16 |
12 |
$10.96 |
| 99000 |
|
104 |
90 |
$3.00 |
| 91301 |
|
20 |
14 |
$0.05 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,088 |
1,608 |
$0.02 |
| 3049F |
|
1,224 |
911 |
$0.00 |
| 3048F |
|
2,141 |
1,606 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
127 |
101 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,487 |
3,355 |
$0.00 |
| 3050F |
|
577 |
413 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
112 |
73 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
14 |
12 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
18 |
13 |
$0.00 |