| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,764 |
1,482 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,100 |
951 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,145 |
998 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,299 |
1,189 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
690 |
611 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
218 |
159 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
663 |
638 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
240 |
166 |
$3K |
| 90686 |
|
182 |
169 |
$2K |
| 87807 |
|
157 |
145 |
$2K |
| 90756 |
|
125 |
94 |
$2K |
| 80305 |
|
118 |
115 |
$955.64 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
55 |
51 |
$804.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
44 |
$277.53 |
| 99441 |
|
70 |
33 |
$169.43 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
13 |
$95.20 |
| 82962 |
|
227 |
196 |
$94.40 |
| 1159F |
|
1,687 |
1,210 |
$11.45 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
330 |
283 |
$0.00 |
| 1160F |
|
1,679 |
1,210 |
$0.00 |
| 99497 |
|
29 |
29 |
$0.00 |
| 3288F |
|
117 |
107 |
$0.00 |
| 3077F |
|
299 |
238 |
$0.00 |
| 3078F |
|
632 |
527 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
58 |
54 |
$0.00 |
| 1170F |
|
117 |
107 |
$0.00 |
| 3074F |
|
890 |
708 |
$0.00 |
| 3075F |
|
267 |
233 |
$0.00 |
| 3079F |
|
890 |
731 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
88 |
78 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
35 |
34 |
$0.00 |
| 1125F |
|
63 |
58 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
40 |
37 |
$0.00 |
| 3044F |
|
14 |
13 |
$0.00 |