| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
290 |
253 |
$10K |
| 99204 |
|
16 |
15 |
$1K |
| 99213 |
|
43 |
40 |
$772.34 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
65 |
55 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
194 |
162 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
232 |
208 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
48 |
41 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
15 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
67 |
57 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
58 |
51 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
55 |
47 |
$0.00 |
| 1036F |
|
79 |
71 |
$0.00 |