| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
25,315 |
13,147 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,521 |
1,746 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
948 |
658 |
$38K |
| 87428 |
|
20 |
13 |
$890.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
26 |
$878.82 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
18 |
$508.68 |
| 90688 |
|
34 |
25 |
$257.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$169.56 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
115 |
98 |
$9.69 |
| 3078F |
|
930 |
747 |
$0.05 |
| 3074F |
|
549 |
442 |
$0.01 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,144 |
1,442 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
568 |
295 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
119 |
77 |
$0.00 |
| 3016F |
|
45 |
40 |
$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) |
122 |
85 |
$0.00 |
| 3008F |
|
28 |
26 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
964 |
493 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
31 |
25 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
18 |
12 |
$0.00 |