| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,268 |
1,245 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,624 |
1,493 |
$80K |
| 99497 |
|
88 |
88 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
247 |
245 |
$4K |
| 90662 |
|
98 |
97 |
$3K |
| 91322 |
|
24 |
24 |
$3K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
230 |
228 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
49 |
$1K |
| 99441 |
|
41 |
38 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
735 |
722 |
$1K |
| 90653 |
|
20 |
20 |
$995.46 |
| 99442 |
|
19 |
16 |
$812.89 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
185 |
184 |
$752.97 |
| 90694 |
|
24 |
24 |
$734.56 |
| 90480 |
|
25 |
25 |
$727.52 |
| 0012A |
|
15 |
15 |
$548.44 |
| 3078F |
|
891 |
844 |
$499.80 |
| 0011A |
|
14 |
14 |
$454.73 |
| 3074F |
|
734 |
686 |
$445.00 |
| 90661 |
|
13 |
13 |
$368.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
13 |
$367.25 |
| 90674 |
|
13 |
13 |
$339.83 |
| 3079F |
|
191 |
183 |
$222.50 |
| 90686 |
|
13 |
13 |
$133.21 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$68.54 |
| 3077F |
|
110 |
106 |
$60.00 |
| 96127 |
|
110 |
110 |
$51.52 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,175 |
1,093 |
$22.30 |
| 3075F |
|
14 |
13 |
$20.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
77 |
72 |
$0.00 |
| 1170F |
|
24 |
24 |
$0.00 |
| 91301 |
|
18 |
18 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |