| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
880 |
863 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,247 |
1,206 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$400.40 |
| G0008 |
Administration of influenza virus vaccine |
39 |
39 |
$396.00 |
| 3078F |
|
143 |
141 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
369 |
363 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 3074F |
|
294 |
291 |
$0.00 |
| 3079F |
|
68 |
67 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |
| 1111F |
|
14 |
14 |
$0.00 |