| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,176 |
2,890 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,774 |
2,391 |
$105K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
53 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
37 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
16 |
$843.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
15 |
$109.04 |
| 96160 |
|
13 |
12 |
$43.20 |
| 4004F |
|
666 |
628 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,719 |
3,460 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
1,990 |
1,870 |
$0.00 |
| 3078F |
|
283 |
254 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,166 |
1,997 |
$0.00 |
| 1159F |
|
110 |
107 |
$0.00 |
| 1160F |
|
120 |
116 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
69 |
64 |
$0.00 |
| 1036F |
|
2,649 |
2,442 |
$0.00 |
| 3017F |
|
738 |
685 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
153 |
143 |
$0.00 |
| 3074F |
|
468 |
426 |
$0.00 |
| 3079F |
|
119 |
110 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
145 |
134 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
141 |
131 |
$0.00 |
| 3044F |
|
74 |
64 |
$0.00 |
| 3075F |
|
27 |
25 |
$0.00 |