| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,853 |
1,841 |
$48K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
161 |
161 |
$11K |
| 99441 |
|
17 |
17 |
$145.75 |
| 99442 |
|
16 |
16 |
$70.44 |
| G8484 |
Influenza immunization was not administered, reason not given |
381 |
380 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
393 |
389 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
791 |
788 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
54 |
54 |
$0.00 |
| 1036F |
|
845 |
840 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
841 |
837 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
131 |
130 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
128 |
127 |
$0.00 |