| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,171 |
4,733 |
$335K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
306 |
305 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
290 |
288 |
$29K |
| 99442 |
|
494 |
482 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
178 |
178 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
101 |
$8K |
| 77080 |
|
303 |
303 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
288 |
282 |
$7K |
| 93000 |
|
532 |
528 |
$7K |
| 93922 |
|
49 |
49 |
$2K |
| 95923 |
|
60 |
60 |
$2K |
| 90688 |
|
80 |
80 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
3,471 |
3,326 |
$827.01 |
| 95921 |
|
32 |
32 |
$737.72 |
| 3078F |
|
644 |
617 |
$612.50 |
| 96127 |
|
131 |
131 |
$596.92 |
| 3074F |
|
406 |
386 |
$347.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$272.98 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,760 |
1,514 |
$224.00 |
| 90658 |
|
14 |
14 |
$165.38 |
| G0008 |
Administration of influenza virus vaccine |
31 |
31 |
$153.68 |
| 3075F |
|
25 |
25 |
$32.50 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
188 |
188 |
$0.00 |
| 1036F |
|
66 |
65 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14 |
13 |
$0.00 |
| 1160F |
|
183 |
171 |
$0.00 |
| 1159F |
|
80 |
75 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
78 |
65 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
13 |
$0.00 |