| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,589 |
6,311 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,220 |
979 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
299 |
261 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
553 |
442 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
178 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
63 |
62 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
35 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
32 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
75 |
64 |
$1K |
| 99490 |
Ccm add 20min |
100 |
95 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
631 |
543 |
$733.26 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$732.12 |
| 87428 |
|
18 |
17 |
$516.21 |
| 90674 |
|
17 |
13 |
$163.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
24 |
$124.83 |
| 96127 |
|
24 |
23 |
$49.75 |
| 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) |
47 |
43 |
$9.11 |
| 3078F |
|
447 |
373 |
$0.00 |
| 1159F |
|
14 |
14 |
$0.00 |
| 1502F |
|
44 |
37 |
$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) |
22 |
22 |
$0.00 |
| 1160F |
|
15 |
15 |
$0.00 |
| 3074F |
|
435 |
370 |
$0.00 |
| 3079F |
|
91 |
80 |
$0.00 |
| 3075F |
|
27 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
17 |
$0.00 |
| 1125F |
|
14 |
12 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |