| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,984 |
3,480 |
$147K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,382 |
1,251 |
$39K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
84 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
86 |
79 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
94 |
83 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$961.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
119 |
$961.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$681.07 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$577.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$346.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$299.60 |
| 96160 |
|
115 |
113 |
$244.32 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
13 |
$131.04 |
| 3078F |
|
294 |
274 |
$0.00 |
| G8598 |
Aspirin or another antiplatelet therapy used |
27 |
27 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
15 |
15 |
$0.00 |
| 4040F |
|
12 |
12 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 3074F |
|
308 |
287 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
59 |
59 |
$0.00 |
| 1036F |
|
39 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 1101F |
|
40 |
40 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
28 |
28 |
$0.00 |