| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
378 |
233 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
185 |
146 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
98 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
56 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
50 |
$2K |
| 80305 |
|
225 |
159 |
$1K |
| 80053 |
Comprehensive metabolic panel |
19 |
12 |
$181.30 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
16 |
12 |
$0.12 |
| 3008F |
|
627 |
321 |
$0.00 |
| 3074F |
|
325 |
187 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
432 |
229 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
168 |
81 |
$0.00 |
| 1034F |
|
136 |
79 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
13 |
$0.00 |
| 1159F |
|
437 |
229 |
$0.00 |
| 1160F |
|
471 |
253 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
46 |
29 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
386 |
211 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
19 |
12 |
$0.00 |