| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,023 |
2,863 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,137 |
2,025 |
$107K |
| 99215 |
Prolong outpt/office vis |
84 |
79 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$4K |
| 99406 |
|
341 |
311 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
140 |
$1K |
| 90686 |
|
99 |
99 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$964.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
25 |
$583.42 |
| 90688 |
|
21 |
21 |
$269.38 |
| 3074F |
|
282 |
276 |
$0.26 |
| 3078F |
|
248 |
245 |
$0.20 |
| 3079F |
|
84 |
84 |
$0.08 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
74 |
72 |
$0.04 |
| 3008F |
|
260 |
252 |
$0.03 |
| 3075F |
|
13 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
14 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
249 |
249 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
13 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,267 |
1,211 |
$0.00 |