| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,279 |
1,135 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,425 |
2,637 |
$17K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
35 |
30 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
173 |
161 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
128 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
46 |
$911.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$483.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
83 |
$353.41 |
| 82607 |
|
19 |
13 |
$68.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
484 |
356 |
$31.76 |
| 81003 |
|
300 |
212 |
$18.40 |
| 80053 |
Comprehensive metabolic panel |
426 |
306 |
$10.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
40 |
25 |
$1.32 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,011 |
905 |
$0.00 |
| 83721 |
|
119 |
83 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
86 |
78 |
$0.00 |
| 80061 |
Lipid panel |
158 |
109 |
$0.00 |
| 3078F |
|
342 |
296 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
61 |
56 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
24 |
16 |
$0.00 |
| 99497 |
|
24 |
15 |
$0.00 |
| 84439 |
|
22 |
15 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
39 |
$0.00 |
| 3074F |
|
340 |
300 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,265 |
1,110 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
605 |
456 |
$0.00 |
| 90688 |
|
21 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
34 |
28 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
42 |
28 |
$0.00 |
| 83735 |
|
19 |
13 |
$0.00 |