| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,904 |
2,655 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,931 |
1,868 |
$76K |
| 99000 |
|
1,514 |
1,446 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
169 |
166 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
124 |
118 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
90 |
$827.28 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$688.52 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
61 |
61 |
$599.85 |
| 93000 |
|
40 |
38 |
$345.19 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$204.14 |
| 81000 |
|
106 |
101 |
$100.42 |
| 92551 |
|
12 |
12 |
$59.90 |
| 81025 |
|
13 |
13 |
$31.08 |
| 81002 |
|
20 |
18 |
$15.47 |
| 99173 |
|
216 |
215 |
$1.75 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
738 |
726 |
$1.09 |
| 99080 |
|
2,865 |
2,049 |
$0.00 |
| 1033F |
|
471 |
463 |
$0.00 |
| 3725F |
|
559 |
548 |
$0.00 |
| 3078F |
|
437 |
428 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
55 |
55 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,366 |
1,312 |
$0.00 |
| 3074F |
|
744 |
729 |
$0.00 |
| 1000F |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
24 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
15 |
15 |
$0.00 |
| 1030F |
|
34 |
34 |
$0.00 |
| 3079F |
|
27 |
26 |
$0.00 |