| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,094 |
7,689 |
$508K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,829 |
3,470 |
$343K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,630 |
3,406 |
$249K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,275 |
3,623 |
$175K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,184 |
2,871 |
$102K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,133 |
1,021 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,059 |
1,081 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
171 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,391 |
1,242 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
26 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
36 |
28 |
$2K |
| 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) |
221 |
185 |
$799.19 |
| 86580 |
|
78 |
75 |
$433.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$151.94 |
| 81025 |
|
14 |
14 |
$84.56 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
4,832 |
4,421 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
29 |
26 |
$0.00 |
| 3210F |
|
73 |
69 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
16 |
16 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
1,741 |
1,630 |
$0.00 |
| 1036F |
|
392 |
378 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
367 |
338 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
1,658 |
1,545 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
175 |
157 |
$0.00 |
| 3017F |
|
429 |
374 |
$0.00 |