| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,505 |
4,943 |
$266K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,198 |
963 |
$61K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
712 |
539 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,350 |
520 |
$15K |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,545 |
4,788 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
579 |
474 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
694 |
533 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
733 |
569 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
127 |
92 |
$635.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
44 |
$510.50 |
| 83037 |
|
65 |
55 |
$491.27 |
| 90682 |
|
24 |
14 |
$397.33 |
| 96127 |
|
137 |
105 |
$359.28 |
| 99000 |
|
73 |
64 |
$181.10 |
| 87807 |
|
12 |
12 |
$85.05 |
| 3008F |
|
1,850 |
1,359 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
201 |
147 |
$0.00 |
| 3017F |
|
145 |
113 |
$0.00 |
| 1036F |
|
1,081 |
789 |
$0.00 |
| 3044F |
|
67 |
58 |
$0.00 |
| 3075F |
|
225 |
165 |
$0.00 |
| 1000F |
|
1,880 |
1,392 |
$0.00 |
| 3074F |
|
1,118 |
833 |
$0.00 |
| 4000F |
|
607 |
468 |
$0.00 |
| 3079F |
|
789 |
613 |
$0.00 |
| 1034F |
|
559 |
429 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
557 |
438 |
$0.00 |
| 3080F |
|
31 |
27 |
$0.00 |
| 3725F |
|
1,178 |
916 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
908 |
646 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,294 |
959 |
$0.00 |
| 3078F |
|
569 |
427 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
193 |
141 |
$0.00 |
| 3015F |
|
16 |
13 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
18 |
14 |
$0.00 |