| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,895 |
3,439 |
$340K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,821 |
2,461 |
$185K |
| 99233 |
Prolong inpt eval add15 m |
482 |
221 |
$29K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
100 |
99 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
54 |
53 |
$6K |
| 99220 |
|
42 |
41 |
$4K |
| 93000 |
|
345 |
345 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
202 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
228 |
211 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| 90688 |
|
68 |
68 |
$1K |
| 90674 |
|
43 |
43 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
25 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
15 |
$1K |
| 90686 |
|
46 |
46 |
$848.66 |
| 90656 |
|
33 |
33 |
$653.43 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
24 |
$613.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
16 |
$500.89 |
| 3079F |
|
606 |
571 |
$1.02 |
| 3288F |
|
2,384 |
2,003 |
$1.02 |
| 3074F |
|
2,990 |
2,561 |
$0.57 |
| 1101F |
|
1,508 |
1,303 |
$0.06 |
| 3078F |
|
3,039 |
2,599 |
$0.05 |
| 3080F |
|
77 |
69 |
$0.00 |
| 3075F |
|
337 |
320 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
59 |
51 |
$0.00 |
| 3044F |
|
216 |
215 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
322 |
317 |
$0.00 |
| 3077F |
|
284 |
253 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
12 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
44 |
37 |
$0.00 |