| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,093 |
4,841 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,452 |
1,392 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
212 |
212 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
324 |
287 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
270 |
263 |
$1K |
| 90674 |
|
53 |
53 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
72 |
$871.42 |
| 90656 |
|
62 |
60 |
$816.30 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
30 |
$768.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$719.36 |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$601.30 |
| 90686 |
|
29 |
29 |
$515.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
44 |
$406.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
40 |
$214.00 |
| 81003 |
|
57 |
56 |
$76.14 |
| 81025 |
|
12 |
12 |
$12.06 |
| 1111F |
|
2,198 |
2,036 |
$0.13 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,496 |
1,410 |
$0.06 |
| 1036F |
|
288 |
278 |
$0.00 |
| 99000 |
|
57 |
57 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
81 |
78 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
97 |
97 |
$0.00 |
| G9691 |
Patient had hospice services any time during the measurement period |
24 |
22 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
309 |
299 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
17 |
17 |
$0.00 |