| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
588 |
503 |
$29K |
| 94010 |
|
557 |
365 |
$6K |
| 95117 |
|
708 |
222 |
$4K |
| 95012 |
|
65 |
57 |
$29.48 |
| 4040F |
|
115 |
102 |
$0.49 |
| G8484 |
Influenza immunization was not administered, reason not given |
99 |
91 |
$0.45 |
| 3046F |
|
99 |
91 |
$0.45 |
| 3023F |
|
82 |
76 |
$0.42 |
| 1111F |
|
98 |
90 |
$0.40 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
101 |
89 |
$0.38 |
| 1036F |
|
66 |
59 |
$0.28 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
64 |
57 |
$0.23 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
63 |
56 |
$0.22 |