| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,970 |
1,608 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
51 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,174 |
944 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
34 |
$905.82 |
| 90688 |
|
45 |
42 |
$552.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
31 |
$449.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$253.64 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
18 |
12 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
100 |
64 |
$0.00 |