| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
870 |
738 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
71 |
$5K |
| S9999 |
Sales tax |
175 |
143 |
$818.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$370.90 |
| 90658 |
|
17 |
17 |
$202.69 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
633 |
508 |
$2.23 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
573 |
468 |
$2.00 |
| 1159F |
|
15 |
12 |
$0.00 |
| 1160F |
|
19 |
15 |
$0.00 |
| 1036F |
|
164 |
145 |
$0.00 |
| 1111F |
|
613 |
495 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
104 |
87 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
398 |
328 |
$0.00 |
| 3074F |
|
56 |
47 |
$0.00 |
| 2000F |
|
38 |
35 |
$0.00 |