| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
408 |
375 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
283 |
283 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
206 |
187 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
352 |
349 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
55 |
52 |
$558.59 |
| 3074F |
|
110 |
108 |
$147.50 |
| 3078F |
|
68 |
66 |
$77.50 |
| 3079F |
|
42 |
40 |
$47.50 |
| 81003 |
|
14 |
14 |
$18.17 |
| 36415 |
Collection of venous blood by venipuncture |
421 |
409 |
$16.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
89 |
84 |
$16.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
59 |
57 |
$3.20 |
| 99072 |
|
99 |
97 |
$2.10 |
| 99000 |
|
715 |
683 |
$0.00 |
| 1000F |
|
39 |
36 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
207 |
197 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
69 |
62 |
$0.00 |
| 3008F |
|
162 |
155 |
$0.00 |
| 1036F |
|
38 |
35 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
199 |
192 |
$0.00 |
| 3725F |
|
85 |
80 |
$0.00 |