| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
6,568 |
3,816 |
$232K |
| 99199 |
|
27,913 |
17,489 |
$158K |
| 99213 |
|
3,977 |
2,471 |
$103K |
| 99497 |
|
125 |
72 |
$1K |
| 0012A |
|
24 |
15 |
$975.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
83 |
54 |
$895.71 |
| 0011A |
|
25 |
12 |
$324.70 |
| 82947 |
|
203 |
155 |
$315.82 |
| 87804 |
|
14 |
13 |
$197.82 |
| 90688 |
|
36 |
29 |
$130.80 |
| 83036 |
|
14 |
13 |
$88.83 |
| 81002 |
|
12 |
12 |
$18.90 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 91301 |
|
34 |
30 |
$0.00 |
| 3074F |
|
131 |
105 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 3079F |
|
44 |
35 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14 |
14 |
$0.00 |
| 90674 |
|
20 |
20 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 3078F |
|
224 |
184 |
$0.00 |
| 3077F |
|
115 |
94 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
405 |
313 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
13 |
$0.00 |