| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
31 |
24 |
$278.29 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
15 |
$2.54 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
516 |
390 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
102 |
85 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
23 |
13 |
$0.00 |
| 4040F |
|
31 |
26 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
344 |
260 |
$0.00 |
| 1036F |
|
264 |
203 |
$0.00 |