| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,148 |
12,095 |
$613K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,111 |
3,492 |
$229K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
234 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
383 |
342 |
$11K |
| 90686 |
|
756 |
582 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
54 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
55 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
258 |
157 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
51 |
43 |
$2K |
| 87430 |
|
195 |
164 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
106 |
$1K |
| 99442 |
|
38 |
31 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141 |
114 |
$684.11 |
| 90688 |
|
48 |
40 |
$504.26 |
| 90715 |
|
15 |
12 |
$174.06 |
| 90734 |
|
16 |
12 |
$152.82 |
| 99406 |
|
25 |
16 |
$134.90 |
| 81003 |
|
30 |
25 |
$47.17 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
38 |
$44.50 |
| 3074F |
|
12 |
12 |
$25.00 |
| 90461 |
|
23 |
19 |
$10.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
953 |
561 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
43 |
27 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
63 |
36 |
$0.00 |
| G8432 |
Depression screening not documented, reason not given |
221 |
128 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
125 |
66 |
$0.00 |
| 3017F |
|
91 |
51 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
127 |
64 |
$0.00 |
| G8536 |
No documentation of an elder maltreatment screen, reason not given |
19 |
12 |
$0.00 |