| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$539.00 |
| 1036F |
|
82 |
79 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
81 |
78 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
52 |
49 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
24 |
24 |
$0.00 |
| 3074F |
|
111 |
109 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
26 |
25 |
$0.00 |
| 4004F |
|
24 |
24 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
94 |
91 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
81 |
79 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
134 |
127 |
$0.00 |
| 3078F |
|
108 |
106 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
29 |
28 |
$0.00 |