| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,340 |
5,355 |
$326K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,898 |
5,857 |
$263K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
678 |
615 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
436 |
388 |
$32K |
| 99442 |
|
196 |
176 |
$8K |
| 96127 |
|
2,673 |
2,449 |
$8K |
| 90682 |
|
219 |
200 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,454 |
1,245 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
583 |
520 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
91 |
88 |
$3K |
| 99490 |
Ccm add 20min |
363 |
294 |
$2K |
| 99408 |
|
650 |
590 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
102 |
$2K |
| 90688 |
|
288 |
258 |
$2K |
| 0011A |
|
36 |
32 |
$1K |
| 0012A |
|
25 |
25 |
$920.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
25 |
$691.05 |
| 90658 |
|
35 |
30 |
$332.12 |
| 0001A |
|
12 |
12 |
$325.00 |
| 81003 |
|
764 |
692 |
$287.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$114.36 |
| 82570 |
|
78 |
68 |
$83.83 |
| 90662 |
|
103 |
78 |
$72.62 |
| 82044 |
|
91 |
80 |
$39.30 |
| 91301 |
|
68 |
63 |
$0.22 |
| 91300 |
|
32 |
30 |
$0.07 |
| 3078F |
|
253 |
223 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
89 |
85 |
$0.00 |
| 3077F |
|
67 |
62 |
$0.00 |
| 3008F |
|
6,927 |
6,151 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
128 |
94 |
$0.00 |
| 3044F |
|
232 |
199 |
$0.00 |
| 3074F |
|
497 |
450 |
$0.00 |
| 3080F |
|
83 |
75 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |
| 3075F |
|
104 |
88 |
$0.00 |
| 3079F |
|
321 |
281 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
48 |
38 |
$0.00 |