| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,431 |
942 |
$99K |
| 99402 |
|
1,797 |
1,150 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,048 |
605 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
613 |
476 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
136 |
136 |
$13K |
| 99349 |
|
116 |
74 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
249 |
191 |
$5K |
| 99401 |
|
111 |
88 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
38 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$1K |
| 90656 |
|
55 |
55 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
49 |
$726.77 |
| 3074F |
|
324 |
124 |
$621.80 |
| G0008 |
Administration of influenza virus vaccine |
36 |
36 |
$543.60 |
| 3078F |
|
294 |
112 |
$541.52 |
| 36415 |
Collection of venous blood by venipuncture |
371 |
355 |
$342.86 |
| 36410 |
|
13 |
13 |
$179.07 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
20 |
20 |
$60.08 |
| 99051 |
|
15 |
12 |
$15.90 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
28 |
16 |
$0.00 |
| 3008F |
|
395 |
137 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
227 |
89 |
$0.00 |
| 4037F |
|
24 |
24 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
43 |
28 |
$0.00 |
| 1125F |
|
13 |
12 |
$0.00 |