| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,348 |
3,767 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
630 |
576 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
246 |
241 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
193 |
95 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
151 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$490.48 |
| 90686 |
|
110 |
107 |
$151.74 |
| 81003 |
|
40 |
39 |
$53.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
195 |
175 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
190 |
162 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
95 |
82 |
$0.00 |
| 3008F |
|
87 |
74 |
$0.00 |
| 3074F |
|
49 |
41 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 1000F |
|
98 |
85 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
59 |
52 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
242 |
206 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
17 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
111 |
104 |
$0.00 |
| 3078F |
|
31 |
23 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
57 |
51 |
$0.00 |
| 90658 |
|
18 |
18 |
$0.00 |
| 1159F |
|
49 |
38 |
$0.00 |
| 1160F |
|
49 |
38 |
$0.00 |