| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,634 |
2,913 |
$215K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
158 |
154 |
$273.94 |
| 90658 |
|
13 |
13 |
$198.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$176.56 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
48 |
47 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
29 |
28 |
$0.00 |