| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,842 |
3,731 |
$471K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,631 |
3,766 |
$362K |
| 99215 |
Prolong outpt/office vis |
415 |
317 |
$49K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
426 |
386 |
$47K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
364 |
335 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
264 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
176 |
122 |
$13K |
| 96127 |
|
509 |
488 |
$2K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
246 |
191 |
$2K |
| 81002 |
|
1,017 |
849 |
$2K |
| 3008F |
|
323 |
261 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
33 |
$1K |
| 99050 |
|
129 |
94 |
$995.20 |
| 36415 |
Collection of venous blood by venipuncture |
390 |
373 |
$848.85 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
13 |
$487.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
16 |
$303.53 |
| 81025 |
|
65 |
31 |
$282.48 |
| 90688 |
|
15 |
15 |
$281.14 |
| 2015F |
|
13 |
13 |
$240.00 |
| 0513F |
|
30 |
15 |
$240.00 |
| 3011F |
|
22 |
12 |
$180.00 |
| 99173 |
|
45 |
42 |
$108.74 |
| 99490 |
Ccm add 20min |
16 |
16 |
$0.00 |
| 99000 |
|
114 |
111 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
12 |
12 |
$0.00 |