| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,268 |
2,777 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,742 |
2,880 |
$105K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
846 |
804 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
444 |
380 |
$12K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
351 |
278 |
$10K |
| 99310 |
Prolong nursin fac eval 15m |
132 |
113 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
104 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
209 |
132 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
95 |
84 |
$2K |
| 0124A |
|
16 |
13 |
$520.00 |
| 90686 |
|
33 |
32 |
$492.66 |
| 90756 |
|
18 |
16 |
$299.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$294.93 |
| 90658 |
|
12 |
12 |
$240.42 |
| 80305 |
|
13 |
12 |
$78.12 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
130 |
124 |
$20.52 |
| 96127 |
|
14 |
13 |
$20.30 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
166 |
148 |
$0.76 |
| 0518F |
|
239 |
215 |
$0.00 |
| 3288F |
|
319 |
284 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
14 |
13 |
$0.00 |
| 1101F |
|
381 |
334 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
15 |
$0.00 |