| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,441 |
2,247 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
507 |
484 |
$6K |
| 90686 |
|
236 |
236 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
79 |
74 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
516 |
505 |
$2K |
| 99441 |
|
79 |
71 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
348 |
348 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
380 |
378 |
$2K |
| 90674 |
|
54 |
54 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
53 |
$1K |
| 99442 |
|
20 |
17 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
53 |
$585.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
150 |
138 |
$579.32 |
| 0011A |
|
14 |
14 |
$502.74 |
| 0012A |
|
13 |
13 |
$466.83 |
| 0004A |
|
12 |
12 |
$430.92 |
| 36415 |
Collection of venous blood by venipuncture |
1,436 |
1,406 |
$103.12 |
| 87430 |
|
13 |
13 |
$67.60 |
| 96103 |
|
109 |
109 |
$24.23 |
| 96127 |
|
253 |
253 |
$12.46 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
51 |
49 |
$0.00 |
| 91301 |
|
73 |
73 |
$0.00 |
| 3074F |
|
55 |
52 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,622 |
2,433 |
$0.00 |
| 91300 |
|
60 |
58 |
$0.00 |
| 3078F |
|
25 |
24 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |