| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,127 |
988 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
821 |
740 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
63 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
29 |
$2K |
| 90656 |
|
22 |
22 |
$492.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$394.53 |
| 90686 |
|
15 |
15 |
$283.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
24 |
$159.72 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
346 |
308 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
714 |
675 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
301 |
286 |
$0.00 |
| 3078F |
|
106 |
103 |
$0.00 |
| 4004F |
|
161 |
151 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
27 |
26 |
$0.00 |
| 1159F |
|
41 |
40 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |
| 2022F |
|
16 |
14 |
$0.00 |
| 3079F |
|
55 |
54 |
$0.00 |
| 3017F |
|
205 |
194 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
239 |
228 |
$0.00 |
| 3074F |
|
192 |
181 |
$0.00 |
| 1036F |
|
557 |
520 |
$0.00 |
| 3044F |
|
31 |
30 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
109 |
101 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
62 |
54 |
$0.00 |