| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,464 |
5,153 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,242 |
1,015 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
993 |
755 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
67 |
$4K |
| 99406 |
|
797 |
656 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
547 |
418 |
$2K |
| 90756 |
|
101 |
79 |
$1K |
| 81003 |
|
1,364 |
1,223 |
$1K |
| 82570 |
|
352 |
322 |
$824.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$674.33 |
| 93000 |
|
63 |
54 |
$619.32 |
| 82044 |
|
425 |
384 |
$617.42 |
| G0008 |
Administration of influenza virus vaccine |
255 |
221 |
$575.31 |
| 90674 |
|
14 |
14 |
$205.93 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
13 |
$125.15 |
| 99497 |
|
12 |
12 |
$105.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
23 |
18 |
$76.17 |
| 90694 |
|
16 |
13 |
$70.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$68.39 |
| 96127 |
|
13 |
12 |
$44.04 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
82 |
76 |
$40.09 |
| 81002 |
|
44 |
36 |
$33.80 |
| 82270 |
|
13 |
12 |
$16.44 |
| 3044F |
|
654 |
525 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
417 |
330 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
79 |
58 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
374 |
299 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
104 |
78 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
136 |
101 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
16 |
13 |
$0.00 |