| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,755 |
2,523 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,684 |
1,618 |
$138K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
413 |
384 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
636 |
620 |
$8K |
| 99441 |
|
198 |
190 |
$6K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
599 |
592 |
$6K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
576 |
574 |
$4K |
| 90686 |
|
244 |
244 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,953 |
1,909 |
$3K |
| 90674 |
|
92 |
92 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$2K |
| 99442 |
|
32 |
25 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
49 |
$986.83 |
| 0004A |
|
26 |
26 |
$930.26 |
| 3074F |
|
1,624 |
1,524 |
$930.00 |
| 3078F |
|
1,585 |
1,495 |
$920.50 |
| 96127 |
|
377 |
376 |
$836.46 |
| 3079F |
|
648 |
613 |
$835.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
81 |
78 |
$731.95 |
| 90661 |
|
15 |
15 |
$499.05 |
| 0011A |
|
16 |
16 |
$467.68 |
| 90656 |
|
26 |
26 |
$455.23 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
81 |
71 |
$375.88 |
| 0012A |
|
12 |
12 |
$347.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$327.80 |
| 3075F |
|
67 |
66 |
$142.50 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
12 |
12 |
$120.44 |
| 87430 |
|
12 |
12 |
$68.22 |
| 3077F |
|
138 |
129 |
$67.50 |
| 96103 |
|
12 |
12 |
$27.54 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,856 |
1,721 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
467 |
434 |
$0.00 |
| 91301 |
|
30 |
30 |
$0.00 |