| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,640 |
11,905 |
$703K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,093 |
2,748 |
$113K |
| 90682 |
|
160 |
147 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
217 |
204 |
$4K |
| 90686 |
|
49 |
49 |
$837.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
30 |
$726.08 |
| 98928 |
|
22 |
12 |
$687.50 |
| 90674 |
|
14 |
14 |
$402.72 |
| 81003 |
|
142 |
127 |
$249.67 |
| 3078F |
|
676 |
609 |
$165.01 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
24 |
$160.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$153.22 |
| 3074F |
|
727 |
652 |
$135.02 |
| 3079F |
|
165 |
154 |
$130.00 |
| 99406 |
|
17 |
14 |
$107.02 |
| 3077F |
|
66 |
56 |
$90.00 |
| 3075F |
|
77 |
69 |
$40.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
25 |
25 |
$35.24 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
82 |
82 |
$34.39 |
| 1159F |
|
2,008 |
1,763 |
$0.02 |
| 1160F |
|
2,046 |
1,797 |
$0.02 |
| 3008F |
|
913 |
852 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
3,141 |
2,824 |
$0.00 |
| 1125F |
|
71 |
67 |
$0.00 |
| 1111F |
|
63 |
61 |
$0.00 |
| 3017F |
|
52 |
52 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
2,882 |
2,588 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
139 |
124 |
$0.00 |
| 2022F |
|
19 |
19 |
$0.00 |