| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,287 |
5,264 |
$207K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,912 |
2,502 |
$146K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,646 |
955 |
$24K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,008 |
819 |
$10K |
| 99442 |
|
355 |
238 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
80 |
75 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
71 |
$4K |
| 99490 |
Ccm add 20min |
247 |
211 |
$2K |
| 90686 |
|
311 |
262 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
87 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
119 |
95 |
$2K |
| 99384 |
|
28 |
27 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
39 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
13 |
$869.82 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
24 |
21 |
$858.65 |
| 36415 |
Collection of venous blood by venipuncture |
175 |
161 |
$369.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
51 |
$333.79 |
| 90734 |
|
38 |
31 |
$328.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
15 |
$294.09 |
| 96160 |
|
256 |
223 |
$138.71 |
| 96127 |
|
203 |
138 |
$117.83 |
| 90648 |
|
45 |
39 |
$76.65 |
| 81002 |
|
33 |
26 |
$63.30 |
| 90715 |
|
16 |
14 |
$46.35 |
| 99307 |
|
34 |
28 |
$33.92 |
| 90710 |
|
14 |
13 |
$25.45 |
| 90723 |
|
12 |
12 |
$15.15 |
| 90670 |
|
34 |
29 |
$10.00 |
| 3074F |
|
104 |
93 |
$0.24 |
| 3079F |
|
78 |
67 |
$0.15 |
| 3078F |
|
61 |
59 |
$0.13 |
| 3077F |
|
19 |
14 |
$0.06 |
| 3075F |
|
13 |
13 |
$0.05 |
| 1000F |
|
2,046 |
1,601 |
$0.00 |
| 1036F |
|
1,705 |
1,332 |
$0.00 |
| 1034F |
|
956 |
742 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
448 |
356 |
$0.00 |
| 3008F |
|
16 |
12 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
557 |
484 |
$0.00 |
| 4004F |
|
821 |
644 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,358 |
721 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
32 |
30 |
$0.00 |
| 90461 |
|
95 |
69 |
$0.00 |