| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,412 |
8,996 |
$295K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
528 |
501 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
748 |
634 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
4,732 |
4,284 |
$14K |
| 87449 |
|
828 |
766 |
$8K |
| 99442 |
|
315 |
287 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
414 |
282 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
192 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
54 |
48 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
184 |
152 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
189 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
194 |
188 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$829.92 |
| 99443 |
|
29 |
27 |
$756.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
44 |
$728.62 |
| 90674 |
|
28 |
27 |
$587.88 |
| 71046 |
Radiologic examination, chest; 2 views |
45 |
36 |
$580.91 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
53 |
40 |
$454.86 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
12 |
$436.13 |
| 82570 |
|
19 |
18 |
$69.19 |
| 3008F |
|
1,964 |
1,666 |
$5.66 |
| 81003 |
|
19 |
18 |
$3.60 |
| 3074F |
|
739 |
627 |
$1.97 |
| 3078F |
|
612 |
530 |
$1.79 |
| 1159F |
|
1,731 |
1,395 |
$1.75 |
| 1160F |
|
1,664 |
1,343 |
$1.63 |
| 3077F |
|
204 |
169 |
$1.25 |
| 3079F |
|
232 |
207 |
$1.22 |
| 3075F |
|
41 |
39 |
$0.24 |
| 3080F |
|
17 |
14 |
$0.14 |
| 3725F |
|
913 |
749 |
$0.00 |
| 4004F |
|
1,966 |
1,582 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
94 |
89 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
86 |
75 |
$0.00 |
| 3288F |
|
46 |
44 |
$0.00 |
| 3720F |
|
75 |
73 |
$0.00 |
| 4035F |
|
73 |
55 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 1220F |
|
1,673 |
1,342 |
$0.00 |
| 2000F |
|
1,562 |
1,316 |
$0.00 |
| 1036F |
|
1,564 |
1,298 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
679 |
544 |
$0.00 |
| 1034F |
|
545 |
434 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
149 |
142 |
$0.00 |
| 1101F |
|
83 |
78 |
$0.00 |
| 1170F |
|
61 |
57 |
$0.00 |
| 1126F |
|
39 |
37 |
$0.00 |