| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99091 |
|
2,728 |
2,430 |
$383K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,966 |
8,501 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,986 |
3,502 |
$161K |
| 99423 |
|
848 |
278 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
511 |
496 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
269 |
263 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
324 |
306 |
$14K |
| 87428 |
|
127 |
102 |
$8K |
| 81025 |
|
934 |
889 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$6K |
| 99385 |
|
54 |
54 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
348 |
329 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
145 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
13 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
305 |
130 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
109 |
$1K |
| 90686 |
|
124 |
109 |
$980.06 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$868.63 |
| S8301 |
Infection control supplies, not otherwise specified |
192 |
179 |
$772.60 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
85 |
45 |
$631.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
78 |
$586.41 |
| 90674 |
|
12 |
12 |
$290.52 |
| 90461 |
|
21 |
15 |
$141.79 |
| 97802 |
|
355 |
347 |
$0.01 |
| S9451 |
Exercise classes, non-physician provider, per session |
355 |
347 |
$0.00 |
| 3080F |
|
15 |
12 |
$0.00 |
| 3074F |
|
205 |
173 |
$0.00 |
| 3079F |
|
90 |
83 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
12 |
$0.00 |
| 3075F |
|
22 |
16 |
$0.00 |
| 96127 |
|
19 |
18 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 1160F |
|
1,697 |
1,388 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
184 |
179 |
$0.00 |
| 99072 |
|
189 |
173 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
98 |
83 |
$0.00 |
| 3077F |
|
31 |
29 |
$0.00 |
| 91300 |
|
31 |
30 |
$0.00 |
| 1159F |
|
1,695 |
1,386 |
$0.00 |
| 3078F |
|
135 |
116 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
45 |
39 |
$0.00 |