| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,169 |
6,672 |
$336K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,119 |
2,440 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
622 |
545 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
669 |
577 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,876 |
1,348 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,124 |
517 |
$11K |
| 1036F |
|
287 |
243 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,903 |
1,579 |
$2K |
| 81025 |
|
430 |
357 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
108 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$977.82 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
12 |
$934.38 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
93 |
63 |
$608.59 |
| 81003 |
|
481 |
396 |
$510.91 |
| 92551 |
|
45 |
39 |
$299.57 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
29 |
29 |
$231.46 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
24 |
$156.31 |
| 90674 |
|
40 |
34 |
$150.92 |
| 90461 |
|
28 |
15 |
$72.72 |
| 99173 |
|
33 |
29 |
$68.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
117 |
89 |
$15.13 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
363 |
323 |
$6.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
14 |
12 |
$3.49 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
27 |
26 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
682 |
579 |
$0.00 |