| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,247 |
3,854 |
$156K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,673 |
2,906 |
$154K |
| 99490 |
Ccm add 20min |
1,274 |
1,098 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
235 |
196 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
414 |
318 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
89 |
73 |
$5K |
| 3008F |
|
999 |
724 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
171 |
133 |
$1K |
| 81003 |
|
871 |
679 |
$1K |
| 90686 |
|
53 |
46 |
$801.54 |
| 90682 |
|
18 |
15 |
$624.71 |
| 0011A |
|
23 |
18 |
$492.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
28 |
$326.17 |
| 99401 |
|
22 |
14 |
$309.48 |
| 3074F |
|
1,038 |
854 |
$290.79 |
| 3079F |
|
475 |
381 |
$263.66 |
| 80305 |
|
32 |
25 |
$204.53 |
| 3078F |
|
771 |
647 |
$197.01 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
16 |
$165.56 |
| 3077F |
|
18 |
17 |
$53.66 |
| 3075F |
|
44 |
40 |
$50.00 |
| 3080F |
|
14 |
12 |
$40.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$33.73 |
| G0008 |
Administration of influenza virus vaccine |
56 |
46 |
$14.09 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
28 |
25 |
$0.00 |
| 1170F |
|
15 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
109 |
69 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,531 |
1,222 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
22 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
439 |
327 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
14 |
$0.00 |
| 1159F |
|
14 |
12 |
$0.00 |
| 90662 |
|
16 |
12 |
$0.00 |