| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
725 |
693 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
94 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$1K |
| 90686 |
|
60 |
60 |
$637.78 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$582.53 |
| 81025 |
|
14 |
13 |
$87.12 |
| 81003 |
|
14 |
14 |
$33.43 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
343 |
322 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
643 |
608 |
$0.00 |