| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,113 |
4,223 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,477 |
3,781 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |
| 99201 |
|
13 |
13 |
$280.43 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
135 |
56 |
$252.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
40 |
$199.34 |
| 90688 |
|
42 |
31 |
$135.58 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
15 |
$5.00 |
| 3079F |
|
74 |
64 |
$0.00 |
| 1036F |
|
726 |
638 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
319 |
277 |
$0.00 |
| 3074F |
|
17 |
17 |
$0.00 |
| 3080F |
|
14 |
12 |
$0.00 |
| 3075F |
|
16 |
13 |
$0.00 |
| 3077F |
|
106 |
103 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
41 |
40 |
$0.00 |
| 3078F |
|
16 |
16 |
$0.00 |