| Code | Description | Claims | Beneficiaries | Total Paid |
| 99343 |
|
475 |
300 |
$164K |
| 92250 |
|
53 |
42 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
19 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
19 |
$786.22 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
20 |
$610.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$314.00 |
| 99344 |
|
38 |
26 |
$0.38 |
| H0001 |
Alcohol and/or drug assessment |
14 |
14 |
$0.00 |
| 1125F |
|
15 |
15 |
$0.00 |
| 1170F |
|
23 |
23 |
$0.00 |
| 1159F |
|
23 |
23 |
$0.00 |
| 3016F |
|
17 |
17 |
$0.00 |
| 1160F |
|
23 |
23 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
16 |
16 |
$0.00 |
| G8477 |
Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg |
12 |
12 |
$0.00 |