| Code | Description | Claims | Beneficiaries | Total Paid |
| 51798 |
|
94 |
82 |
$809.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$585.85 |
| 81003 |
|
131 |
111 |
$246.42 |
| 81000 |
|
70 |
58 |
$209.18 |
| G8484 |
Influenza immunization was not administered, reason not given |
109 |
98 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
123 |
110 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |