| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45,283 |
33,172 |
$1.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,454 |
17,677 |
$644K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14,182 |
9,432 |
$470K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
8,306 |
5,617 |
$348K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
11,488 |
9,347 |
$306K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20,289 |
12,829 |
$167K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,723 |
11,011 |
$116K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,861 |
2,154 |
$81K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,860 |
4,446 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
1,059 |
690 |
$11K |
| T1015 |
Clinic visit/encounter, all-inclusive |
568 |
515 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
249 |
205 |
$6K |
| 99051 |
|
23,905 |
16,296 |
$6K |
| 80053 |
Comprehensive metabolic panel |
792 |
529 |
$4K |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
1,540 |
995 |
$3K |
| 85004 |
|
582 |
350 |
$2K |
| 99215 |
Prolong outpt/office vis |
30 |
27 |
$2K |
| 99305 |
|
146 |
127 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
217 |
138 |
$2K |
| 99205 |
Prolong outpt/office vis |
20 |
13 |
$2K |
| 85032 |
|
582 |
350 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
376 |
276 |
$1K |
| 99318 |
|
66 |
64 |
$1K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
940 |
608 |
$1K |
| 85018 |
|
582 |
350 |
$932.88 |
| 85014 |
|
582 |
350 |
$932.88 |
| 81003 |
|
948 |
593 |
$569.76 |
| 86756 |
|
953 |
574 |
$557.76 |
| 94760 |
|
346 |
330 |
$452.64 |
| 87807 |
|
48 |
33 |
$351.27 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
98 |
67 |
$288.60 |
| 71045 |
Radiologic examination, chest; single view |
15 |
12 |
$118.60 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
120 |
$85.15 |
| 3074F |
|
473 |
292 |
$70.73 |
| 3079F |
|
111 |
78 |
$0.01 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
29 |
26 |
$0.00 |
| 1036F |
|
18 |
14 |
$0.00 |
| 3080F |
|
25 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
12 |
$0.00 |
| 3044F |
|
53 |
29 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
26 |
$0.00 |
| 4004F |
|
1,836 |
1,081 |
$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) |
5,014 |
2,954 |
$0.00 |
| 3078F |
|
268 |
171 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
179 |
154 |
$0.00 |
| 3077F |
|
44 |
24 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
14 |
12 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
27 |
$0.00 |