| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,007 |
9,100 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,815 |
2,703 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
522 |
522 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$861.60 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,126 |
1,098 |
$744.84 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
11,387 |
10,229 |
$425.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,115 |
2,842 |
$273.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
26 |
$168.15 |
| 87428 |
|
250 |
243 |
$139.23 |
| 81003 |
|
1,018 |
997 |
$75.66 |
| 81025 |
|
548 |
540 |
$75.12 |
| 99215 |
Prolong outpt/office vis |
35 |
35 |
$62.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
469 |
463 |
$57.94 |
| 85018 |
|
79 |
79 |
$8.24 |
| 82962 |
|
43 |
42 |
$3.98 |
| 3079F |
|
3,122 |
2,965 |
$0.00 |
| 3074F |
|
4,891 |
4,588 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
8,386 |
7,789 |
$0.00 |
| 3080F |
|
1,158 |
1,102 |
$0.00 |
| 3075F |
|
1,498 |
1,449 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
62 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
114 |
112 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
149 |
147 |
$0.00 |
| 3077F |
|
1,763 |
1,658 |
$0.00 |
| 3078F |
|
3,864 |
3,659 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
45 |
44 |
$0.00 |
| 96160 |
|
272 |
271 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
141 |
132 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
45 |
45 |
$0.00 |