| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,387 |
2,327 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,707 |
1,615 |
$53K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
109 |
109 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
103 |
103 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$134.40 |
| 81002 |
|
13 |
12 |
$44.95 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
311 |
296 |
$0.00 |
| 3074F |
|
1,642 |
1,591 |
$0.00 |
| 3079F |
|
848 |
826 |
$0.00 |
| 1036F |
|
129 |
128 |
$0.00 |
| 3075F |
|
167 |
167 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,934 |
1,865 |
$0.00 |
| 90673 |
|
12 |
12 |
$0.00 |
| 3078F |
|
1,276 |
1,239 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
26 |
26 |
$0.00 |
| 4004F |
|
78 |
77 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,317 |
2,217 |
$0.00 |
| 3077F |
|
86 |
84 |
$0.00 |