| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,909 |
4,181 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,572 |
2,092 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
940 |
612 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
772 |
652 |
$13K |
| Q3014 |
Telehealth originating site facility fee |
943 |
613 |
$10K |
| 80305 |
|
1,796 |
1,620 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
256 |
208 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,068 |
444 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
128 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
130 |
111 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
739 |
633 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
926 |
479 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
58 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$2K |
| 90686 |
|
125 |
97 |
$1K |
| 99442 |
|
37 |
34 |
$463.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
38 |
$369.21 |
| 3074F |
|
3,240 |
2,610 |
$290.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
87 |
74 |
$264.06 |
| 3078F |
|
2,750 |
2,242 |
$220.00 |
| 81002 |
|
99 |
83 |
$152.53 |
| 90656 |
|
15 |
15 |
$120.08 |
| 3079F |
|
456 |
362 |
$110.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
25 |
24 |
$70.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
163 |
139 |
$51.75 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
54 |
$48.96 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
49 |
40 |
$43.89 |
| 3044F |
|
209 |
188 |
$10.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
33 |
30 |
$0.00 |
| 1036F |
|
949 |
761 |
$0.00 |
| 1034F |
|
598 |
478 |
$0.00 |
| 3008F |
|
2,861 |
2,311 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
37 |
30 |
$0.00 |
| 1159F |
|
3,341 |
2,683 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
13 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
32 |
29 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
71 |
61 |
$0.00 |