| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,480 |
9,194 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,150 |
5,487 |
$125K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,114 |
1,000 |
$64K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
590 |
516 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
421 |
377 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
969 |
450 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
856 |
770 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
631 |
303 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
54 |
$3K |
| 97597 |
|
580 |
252 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
2,962 |
2,303 |
$1K |
| 99443 |
|
90 |
59 |
$657.92 |
| 71046 |
Radiologic examination, chest; 2 views |
166 |
126 |
$651.76 |
| 3074F |
|
6,100 |
4,641 |
$580.00 |
| 3078F |
|
6,389 |
4,726 |
$580.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$456.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
13 |
$278.27 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
44 |
39 |
$251.53 |
| 3079F |
|
1,021 |
808 |
$200.00 |
| 80053 |
Comprehensive metabolic panel |
129 |
98 |
$88.32 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
138 |
105 |
$52.82 |
| G0008 |
Administration of influenza virus vaccine |
195 |
131 |
$43.38 |
| 3077F |
|
209 |
146 |
$30.00 |
| 3075F |
|
128 |
105 |
$10.00 |
| 90688 |
|
153 |
96 |
$1.33 |
| 3008F |
|
13,109 |
9,571 |
$0.00 |
| 1036F |
|
8,850 |
6,449 |
$0.00 |
| 1125F |
|
2,834 |
1,998 |
$0.00 |
| 1126F |
|
2,023 |
1,553 |
$0.00 |
| 1034F |
|
467 |
324 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
270 |
203 |
$0.00 |
| 1170F |
|
62 |
44 |
$0.00 |
| 1035F |
|
16 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
15 |
$0.00 |
| 99024 |
|
49 |
35 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
18 |
$0.00 |
| 1159F |
|
2,588 |
1,942 |
$0.00 |
| 1160F |
|
3,116 |
2,290 |
$0.00 |
| 1090F |
|
64 |
45 |
$0.00 |
| 99499 |
|
55 |
47 |
$0.00 |
| 3725F |
|
1,185 |
916 |
$0.00 |
| 3288F |
|
76 |
54 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
31 |
27 |
$0.00 |