| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,988 |
1,567 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
742 |
620 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
44 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
57 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
18 |
$429.45 |
| 99441 |
|
19 |
18 |
$327.00 |
| 90686 |
|
44 |
44 |
$215.15 |
| G8732 |
No documentation of pain assessment, reason not given |
181 |
127 |
$0.00 |
| 1036F |
|
154 |
97 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
175 |
119 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
72 |
39 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
86 |
53 |
$0.00 |
| 1101F |
|
41 |
24 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
62 |
36 |
$0.00 |
| G8541 |
Functional outcome assessment using a standardized tool not documented, reason not given |
351 |
234 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
388 |
261 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
19 |
14 |
$0.00 |