| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
386 |
358 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
241 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
29 |
26 |
$797.69 |
| 90661 |
|
13 |
13 |
$357.61 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
19 |
$270.33 |
| 96127 |
|
188 |
186 |
$264.74 |
| 81000 |
|
49 |
49 |
$148.12 |
| 36415 |
Collection of venous blood by venipuncture |
265 |
261 |
$55.11 |
| 81002 |
|
17 |
17 |
$47.26 |
| 0513F |
|
65 |
60 |
$40.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
52 |
$0.08 |
| 1036F |
|
29 |
26 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| 1160F |
|
630 |
565 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
129 |
121 |
$0.00 |
| 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) |
37 |
35 |
$0.00 |