| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,206 |
3,115 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,322 |
1,757 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,017 |
877 |
$10K |
| 99000 |
|
2,325 |
1,912 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
299 |
190 |
$7K |
| 36410 |
|
1,074 |
913 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,030 |
819 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
174 |
141 |
$2K |
| 99490 |
Ccm add 20min |
1,525 |
1,524 |
$2K |
| 86328 |
|
82 |
75 |
$2K |
| 99401 |
|
927 |
647 |
$577.00 |
| 90756 |
|
38 |
38 |
$553.17 |
| 99443 |
|
37 |
32 |
$511.36 |
| 80053 |
Comprehensive metabolic panel |
109 |
101 |
$297.38 |
| 80061 |
Lipid panel |
110 |
99 |
$291.75 |
| 99001 |
|
433 |
287 |
$234.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$172.72 |
| 90688 |
|
22 |
16 |
$164.70 |
| 0011A |
|
17 |
17 |
$136.54 |
| 99072 |
|
375 |
236 |
$135.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
69 |
67 |
$111.93 |
| 91301 |
|
23 |
15 |
$0.02 |
| 5015F |
|
1,991 |
1,361 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
2,305 |
1,580 |
$0.00 |
| 1124F |
|
2,140 |
1,466 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,178 |
787 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
774 |
593 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
992 |
729 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
175 |
132 |
$0.00 |
| 99487 |
Ccm add 20min |
14 |
13 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
32 |
24 |
$0.00 |
| 1006F |
|
1,706 |
1,196 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,283 |
917 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
663 |
494 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
438 |
371 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
111 |
93 |
$0.00 |
| 96127 |
|
23 |
12 |
$0.00 |
| 99070 |
|
103 |
92 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |