| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,119 |
2,573 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,912 |
1,585 |
$55K |
| 99487 |
Ccm add 20min |
599 |
531 |
$5K |
| 87428 |
|
33 |
28 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
45 |
42 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
42 |
$986.01 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
15 |
$772.13 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
21 |
$741.29 |
| 99457 |
|
200 |
171 |
$638.03 |
| 99454 |
|
164 |
141 |
$426.47 |
| 96127 |
|
42 |
36 |
$108.26 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$103.61 |
| 99453 |
|
13 |
12 |
$5.02 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
24 |
17 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
368 |
275 |
$0.00 |