| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,343 |
3,075 |
$190K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,071 |
1,067 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
863 |
836 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
219 |
219 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
688 |
676 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
195 |
184 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$694.72 |
| 81003 |
|
214 |
209 |
$657.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
31 |
$311.56 |
| 81002 |
|
211 |
205 |
$168.22 |
| 3078F |
|
871 |
823 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,098 |
1,014 |
$0.00 |
| 3077F |
|
325 |
308 |
$0.00 |
| 3080F |
|
150 |
138 |
$0.00 |
| 3075F |
|
358 |
348 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
26 |
25 |
$0.00 |
| 3074F |
|
771 |
730 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
512 |
472 |
$0.00 |
| 3079F |
|
361 |
347 |
$0.00 |