| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,691 |
1,335 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,353 |
1,058 |
$55K |
| 1159F |
|
3,046 |
2,258 |
$3K |
| 1160F |
|
2,462 |
1,829 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
157 |
110 |
$2K |
| 1126F |
|
1,557 |
1,217 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
16 |
$1K |
| 3074F |
|
471 |
384 |
$900.00 |
| 3078F |
|
433 |
345 |
$825.00 |
| 1125F |
|
1,003 |
769 |
$750.00 |
| 2010F |
|
640 |
524 |
$700.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
31 |
$687.49 |
| 3008F |
|
844 |
677 |
$675.00 |
| 2001F |
|
854 |
683 |
$650.00 |
| 2000F |
|
838 |
675 |
$625.00 |
| 99442 |
|
14 |
12 |
$611.60 |
| 36415 |
Collection of venous blood by venipuncture |
310 |
258 |
$481.92 |
| 90686 |
|
40 |
32 |
$195.38 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$191.19 |
| 3075F |
|
16 |
14 |
$75.00 |
| 1036F |
|
468 |
355 |
$75.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$56.62 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
12 |
$31.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$5.88 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,590 |
1,144 |
$0.01 |
| 0521F |
|
281 |
210 |
$0.00 |
| 99072 |
|
42 |
38 |
$0.00 |
| 3028F |
|
38 |
26 |
$0.00 |
| 3089F |
|
15 |
13 |
$0.00 |
| G2181 |
Bmi not documented due to medical reason or patient refusal of height or weight measurement |
20 |
14 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
55 |
39 |
$0.00 |
| 4010F |
|
15 |
12 |
$0.00 |
| 1034F |
|
33 |
28 |
$0.00 |
| 0545F |
|
15 |
13 |
$0.00 |