| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,031 |
2,784 |
$179K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,761 |
1,189 |
$75K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
269 |
229 |
$13K |
| 96127 |
|
1,141 |
931 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
66 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
146 |
114 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
208 |
164 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
131 |
106 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
127 |
100 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,191 |
946 |
$2K |
| 98925 |
|
53 |
40 |
$388.24 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
84 |
68 |
$346.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$211.78 |
| 90686 |
|
22 |
19 |
$193.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
14 |
$160.60 |
| 36416 |
|
26 |
12 |
$19.44 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
367 |
336 |
$0.09 |
| 1101F |
|
30 |
18 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
339 |
312 |
$0.00 |
| 1170F |
|
47 |
32 |
$0.00 |
| 3008F |
|
36 |
35 |
$0.00 |
| 1125F |
|
54 |
52 |
$0.00 |
| 3075F |
|
20 |
19 |
$0.00 |
| 1126F |
|
26 |
16 |
$0.00 |
| 3079F |
|
34 |
33 |
$0.00 |
| 3074F |
|
35 |
32 |
$0.00 |
| 1159F |
|
142 |
118 |
$0.00 |
| 3288F |
|
33 |
19 |
$0.00 |
| 1160F |
|
141 |
119 |
$0.00 |
| 99072 |
|
16 |
16 |
$0.00 |