| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
77,016 |
44,439 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,274 |
6,969 |
$346K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,653 |
3,783 |
$221K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,484 |
4,325 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
148 |
84 |
$3K |
| 81002 |
|
1,727 |
1,163 |
$2K |
| 81003 |
|
2,169 |
1,445 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
196 |
75 |
$1K |
| 99215 |
Prolong outpt/office vis |
24 |
12 |
$854.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
40 |
$438.03 |
| 90688 |
|
98 |
59 |
$433.16 |
| 96127 |
|
142 |
125 |
$385.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
13 |
$141.30 |
| 96161 |
|
114 |
94 |
$28.72 |
| 3078F |
|
714 |
543 |
$0.13 |
| 3074F |
|
872 |
659 |
$0.12 |
| 3008F |
|
5,255 |
3,832 |
$0.12 |
| 3079F |
|
543 |
415 |
$0.04 |
| 3075F |
|
119 |
96 |
$0.03 |
| 3077F |
|
351 |
278 |
$0.03 |
| 3080F |
|
126 |
107 |
$0.02 |
| 1170F |
|
286 |
216 |
$0.00 |
| 1125F |
|
38 |
26 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
285 |
214 |
$0.00 |
| 90686 |
|
85 |
50 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
150 |
114 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
31 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
12 |
12 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |
| 99173 |
|
201 |
121 |
$0.00 |
| 3288F |
|
179 |
136 |
$0.00 |
| 1159F |
|
114 |
95 |
$0.00 |
| 4004F |
|
128 |
108 |
$0.00 |
| 1158F |
|
97 |
82 |
$0.00 |
| 1160F |
|
114 |
95 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |