| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,222 |
2,112 |
$184K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,163 |
2,004 |
$124K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$4K |
| 96127 |
|
541 |
532 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
46 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$996.88 |
| 99000 |
|
149 |
142 |
$750.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$719.50 |
| 90674 |
|
24 |
24 |
$590.86 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$331.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$317.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$193.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$73.69 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
12 |
12 |
$39.66 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
62 |
62 |
$0.00 |
| 3074F |
|
108 |
106 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
84 |
83 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
67 |
67 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
130 |
130 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
77 |
77 |
$0.00 |