| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
503 |
343 |
$6K |
| 99417 |
Prolong home eval add 15m |
372 |
38 |
$3K |
| 99215 |
Prolong outpt/office vis |
220 |
38 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
32 |
$753.18 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
12 |
$141.19 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
273 |
157 |
$0.00 |
| S0013 |
Esketamine, nasal spray, 1 mg |
222 |
38 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
27 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
48 |
29 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
234 |
118 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
263 |
151 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
117 |
73 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
259 |
151 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
17 |
13 |
$0.00 |