| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,552 |
5,146 |
$432K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,954 |
6,448 |
$392K |
| 99215 |
Prolong outpt/office vis |
678 |
656 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
646 |
646 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
354 |
354 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
281 |
281 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
345 |
341 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
230 |
230 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,459 |
1,458 |
$15K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
116 |
116 |
$11K |
| 90686 |
|
383 |
378 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
385 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
69 |
$3K |
| 96127 |
|
905 |
905 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
48 |
46 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
26 |
$603.24 |
| 99000 |
|
60 |
59 |
$553.00 |
| 87430 |
|
26 |
26 |
$297.06 |
| 90656 |
|
12 |
12 |
$250.33 |
| 81002 |
|
27 |
27 |
$44.46 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,374 |
1,223 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
89 |
85 |
$0.00 |
| G8476 |
Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg |
1,260 |
1,137 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 1160F |
|
33 |
32 |
$0.00 |
| 3078F |
|
27 |
26 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
29 |
28 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
96 |
96 |
$0.00 |
| 3074F |
|
28 |
27 |
$0.00 |
| 99050 |
|
12 |
12 |
$0.00 |