| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,094 |
7,266 |
$549K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,687 |
1,520 |
$80K |
| 99215 |
Prolong outpt/office vis |
83 |
81 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
72 |
72 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
212 |
205 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
238 |
214 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
29 |
29 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
83 |
72 |
$2K |
| 90686 |
|
139 |
124 |
$2K |
| 0134A |
|
33 |
33 |
$962.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$955.45 |
| 90656 |
|
26 |
26 |
$812.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
18 |
$617.47 |
| 90674 |
|
13 |
13 |
$362.58 |
| 81002 |
|
25 |
24 |
$58.40 |
| 99072 |
|
162 |
102 |
$8.40 |
| 1160F |
|
1,280 |
1,114 |
$0.00 |
| 3078F |
|
1,664 |
1,441 |
$0.00 |
| 1159F |
|
1,248 |
1,086 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 3079F |
|
859 |
761 |
$0.00 |
| 3074F |
|
2,608 |
2,226 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
248 |
231 |
$0.00 |
| 3075F |
|
138 |
121 |
$0.00 |