| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,954 |
2,893 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,461 |
1,281 |
$72K |
| 99215 |
Prolong outpt/office vis |
86 |
80 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
319 |
287 |
$3K |
| 82947 |
|
871 |
748 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
97 |
75 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
125 |
117 |
$1K |
| 96127 |
|
371 |
355 |
$1K |
| 90686 |
|
68 |
65 |
$1K |
| 90756 |
|
23 |
23 |
$605.33 |
| 93000 |
|
45 |
40 |
$535.77 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
68 |
62 |
$358.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$313.38 |
| 90688 |
|
19 |
17 |
$302.83 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
51 |
39 |
$79.64 |
| 90662 |
|
26 |
24 |
$67.00 |
| G0008 |
Administration of influenza virus vaccine |
27 |
25 |
$22.76 |
| 3079F |
|
475 |
438 |
$0.14 |
| 3075F |
|
304 |
269 |
$0.08 |
| 3044F |
|
71 |
61 |
$0.03 |
| 3008F |
|
376 |
357 |
$0.03 |
| 3074F |
|
126 |
118 |
$0.01 |
| 1170F |
|
275 |
264 |
$0.01 |
| 1125F |
|
13 |
12 |
$0.01 |
| 3077F |
|
15 |
12 |
$0.01 |
| 1036F |
|
25 |
24 |
$0.00 |
| 1126F |
|
16 |
14 |
$0.00 |
| 3319F |
|
27 |
27 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
13 |
13 |
$0.00 |
| 1157F |
|
33 |
27 |
$0.00 |
| 1123F |
|
13 |
12 |
$0.00 |
| 3028F |
|
241 |
234 |
$0.00 |
| S9999 |
Sales tax |
222 |
154 |
$0.00 |
| 1160F |
|
291 |
278 |
$0.00 |
| 3725F |
|
265 |
249 |
$0.00 |
| 3078F |
|
93 |
80 |
$0.00 |
| 1159F |
|
293 |
280 |
$0.00 |
| 3006F |
|
27 |
25 |
$0.00 |
| 0518F |
|
41 |
40 |
$0.00 |
| 4013F |
|
13 |
12 |
$0.00 |