| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
604 |
573 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
226 |
221 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
69 |
$1K |
| 90688 |
|
33 |
33 |
$110.39 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
51 |
51 |
$52.89 |
| G0008 |
Administration of influenza virus vaccine |
76 |
76 |
$42.24 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
308 |
299 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
27 |
27 |
$0.00 |
| 1101F |
|
40 |
40 |
$0.00 |
| 1036F |
|
21 |
21 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
223 |
219 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
511 |
475 |
$0.00 |
| 99497 |
|
35 |
35 |
$0.00 |
| 1124F |
|
36 |
36 |
$0.00 |
| 1090F |
|
32 |
31 |
$0.00 |
| 4040F |
|
58 |
58 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
33 |
33 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
13 |
12 |
$0.00 |