| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,176 |
7,547 |
$475K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,389 |
5,803 |
$290K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
563 |
553 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
119 |
117 |
$11K |
| 93000 |
|
831 |
794 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
131 |
126 |
$8K |
| 90688 |
|
336 |
301 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
147 |
142 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
223 |
217 |
$3K |
| 90686 |
|
196 |
189 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
188 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$2K |
| 82962 |
|
1,413 |
1,238 |
$2K |
| 81002 |
|
871 |
833 |
$2K |
| 0011A |
|
63 |
63 |
$2K |
| 0012A |
|
45 |
45 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90662 |
|
120 |
111 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
94 |
82 |
$1K |
| 90732 |
|
19 |
13 |
$984.28 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
31 |
$593.28 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
83 |
80 |
$455.19 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
33 |
32 |
$228.28 |
| G0008 |
Administration of influenza virus vaccine |
124 |
112 |
$118.40 |
| 99397 |
|
15 |
14 |
$115.39 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
55 |
48 |
$0.11 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
67 |
61 |
$0.09 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
37 |
35 |
$0.01 |
| 1123F |
|
15 |
15 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
99 |
88 |
$0.00 |
| 1101F |
|
15 |
15 |
$0.00 |
| 1170F |
|
15 |
15 |
$0.00 |
| 1159F |
|
13 |
12 |
$0.00 |