| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,431 |
16,960 |
$967K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,990 |
3,831 |
$339K |
| 98926 |
|
286 |
155 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
229 |
$7K |
| 96127 |
|
292 |
261 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
50 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
28 |
25 |
$958.38 |
| 90688 |
|
16 |
16 |
$34.77 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$30.00 |
| 3078F |
|
102 |
76 |
$0.17 |
| 3074F |
|
131 |
96 |
$0.09 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
895 |
723 |
$0.03 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
267 |
200 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
24 |
17 |
$0.00 |