| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,926 |
4,205 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,634 |
1,402 |
$64K |
| 99483 |
Prolong outpt/office vis |
73 |
70 |
$9K |
| 99441 |
|
247 |
223 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
73 |
$5K |
| 99493 |
|
78 |
77 |
$5K |
| 99487 |
Ccm add 20min |
147 |
141 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
43 |
43 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
140 |
128 |
$3K |
| 99492 |
|
35 |
35 |
$3K |
| 99442 |
|
61 |
58 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
104 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$637.99 |
| 99401 |
|
14 |
13 |
$192.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$165.26 |
| 81002 |
|
40 |
39 |
$13.73 |
| 1125F |
|
170 |
136 |
$0.17 |
| 1170F |
|
96 |
83 |
$0.11 |
| 3077F |
|
35 |
32 |
$0.05 |
| 3074F |
|
33 |
28 |
$0.02 |
| 1159F |
|
247 |
196 |
$0.01 |
| 3078F |
|
17 |
14 |
$0.01 |
| 3080F |
|
12 |
12 |
$0.01 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
32 |
28 |
$0.00 |
| 1126F |
|
16 |
15 |
$0.00 |
| 1034F |
|
36 |
29 |
$0.00 |
| 1101F |
|
79 |
68 |
$0.00 |
| 1036F |
|
36 |
32 |
$0.00 |