| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,194 |
1,763 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,026 |
903 |
$40K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
13 |
12 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
182 |
152 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
191 |
166 |
$1K |
| 92552 |
|
43 |
38 |
$701.02 |
| 95117 |
|
55 |
24 |
$603.47 |
| 96127 |
|
127 |
113 |
$537.51 |
| 90756 |
|
40 |
29 |
$356.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
49 |
$320.43 |
| 99173 |
|
43 |
38 |
$246.54 |
| 90686 |
|
13 |
13 |
$132.33 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
35 |
33 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| 3008F |
|
58 |
50 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
15 |
$0.00 |