| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,571 |
2,484 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,885 |
2,760 |
$127K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
144 |
142 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$2K |
| 90674 |
|
46 |
46 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,548 |
1,530 |
$849.92 |
| 99385 |
|
13 |
13 |
$725.34 |
| 99442 |
|
23 |
22 |
$677.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
41 |
$421.39 |
| 90682 |
|
17 |
17 |
$420.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
113 |
111 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
41 |
41 |
$0.00 |
| 99080 |
|
26 |
26 |
$0.00 |