| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,773 |
5,045 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,894 |
3,686 |
$84K |
| 99215 |
Prolong outpt/office vis |
1,076 |
1,071 |
$52K |
| 99335 |
|
281 |
181 |
$5K |
| 90756 |
|
653 |
652 |
$3K |
| 90674 |
|
140 |
139 |
$868.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
84 |
$417.32 |
| 90658 |
|
103 |
103 |
$375.00 |
| 90656 |
|
17 |
17 |
$200.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
148 |
148 |
$0.00 |
| 1036F |
|
847 |
611 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
242 |
176 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
720 |
719 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
422 |
306 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
53 |
39 |
$0.00 |