| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,210 |
4,773 |
$121K |
| 86328 |
|
480 |
467 |
$28K |
| 99444 |
|
353 |
89 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
760 |
479 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
981 |
961 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
242 |
238 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
72 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
589 |
550 |
$2K |
| 92552 |
|
219 |
216 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
127 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
51 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
59 |
29 |
$304.07 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$268.14 |
| 80061 |
Lipid panel |
318 |
318 |
$122.68 |
| 90658 |
|
13 |
13 |
$100.83 |
| 90688 |
|
19 |
19 |
$72.24 |
| 99050 |
|
13 |
12 |
$27.48 |
| 81003 |
|
28 |
27 |
$22.08 |
| 82947 |
|
27 |
24 |
$14.45 |
| 99000 |
|
480 |
459 |
$7.62 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,027 |
742 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
582 |
485 |
$0.00 |
| 0521F |
|
82 |
73 |
$0.00 |
| 1036F |
|
1,185 |
870 |
$0.00 |
| 1126F |
|
1,076 |
802 |
$0.00 |
| 2000F |
|
1,256 |
906 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
451 |
421 |
$0.00 |
| 1125F |
|
100 |
88 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
12 |
$0.00 |