| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,013 |
5,899 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,273 |
5,117 |
$167K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
309 |
280 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
153 |
140 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
72 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
139 |
108 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
138 |
$3K |
| 96127 |
|
1,381 |
1,114 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
51 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
39 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
26 |
$747.65 |
| 90688 |
|
150 |
113 |
$616.37 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
51 |
$211.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
25 |
$161.74 |
| 93000 |
|
44 |
43 |
$139.90 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
44 |
38 |
$25.80 |
| 90686 |
|
14 |
12 |
$22.07 |
| 81002 |
|
55 |
52 |
$19.94 |
| G0008 |
Administration of influenza virus vaccine |
116 |
79 |
$2.60 |
| 1159F |
|
349 |
248 |
$0.00 |
| 1160F |
|
350 |
249 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
113 |
68 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
395 |
355 |
$0.00 |
| 3078F |
|
224 |
153 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 1036F |
|
437 |
334 |
$0.00 |
| 3008F |
|
516 |
387 |
$0.00 |
| 3074F |
|
345 |
236 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3079F |
|
50 |
36 |
$0.00 |