| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
616 |
563 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
37 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
322 |
300 |
$818.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
13 |
$91.00 |
| 81002 |
|
12 |
12 |
$26.16 |
| 3078F |
|
289 |
270 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
660 |
600 |
$0.00 |
| 3074F |
|
395 |
364 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| 3079F |
|
53 |
45 |
$0.00 |