| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,377 |
6,746 |
$658K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,697 |
1,536 |
$105K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
679 |
677 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
855 |
854 |
$67K |
| 99205 |
Prolong outpt/office vis |
270 |
264 |
$35K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
647 |
581 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
741 |
695 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,040 |
1,777 |
$19K |
| 90756 |
|
244 |
238 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
209 |
201 |
$5K |
| 99000 |
|
548 |
526 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
121 |
121 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
645 |
590 |
$978.49 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
21 |
$726.40 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
143 |
126 |
$647.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
48 |
$579.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
22 |
$543.82 |
| 99406 |
|
42 |
41 |
$328.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
35 |
$210.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
188 |
153 |
$126.32 |
| 98966 |
|
14 |
14 |
$83.10 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
34 |
27 |
$55.90 |
| 94760 |
|
2,991 |
2,309 |
$9.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,175 |
3,280 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
4,037 |
3,170 |
$0.00 |
| 3078F |
|
2,416 |
2,059 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,431 |
1,170 |
$0.00 |
| 4004F |
|
352 |
300 |
$0.00 |
| 3288F |
|
3,095 |
2,414 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
460 |
385 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
54 |
50 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
4,120 |
3,193 |
$0.00 |
| 3077F |
|
107 |
100 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
77 |
68 |
$0.00 |
| 3075F |
|
678 |
611 |
$0.00 |
| 1036F |
|
3,865 |
3,020 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,338 |
3,368 |
$0.00 |
| 3074F |
|
4,240 |
3,508 |
$0.00 |
| 1123F |
|
4,648 |
3,615 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
4,134 |
3,237 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
308 |
248 |
$0.00 |
| 3080F |
|
141 |
128 |
$0.00 |
| 3079F |
|
1,295 |
1,133 |
$0.00 |
| 3017F |
|
70 |
64 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
18 |
18 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
225 |
205 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
141 |
116 |
$0.00 |
| 3014F |
|
14 |
13 |
$0.00 |