| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
369 |
359 |
$14K |
| 87428 |
|
164 |
160 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$838.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$69.30 |
| 1101F |
|
562 |
546 |
$0.00 |
| 3008F |
|
686 |
668 |
$0.00 |
| 3074F |
|
512 |
503 |
$0.00 |
| 1126F |
|
499 |
485 |
$0.00 |
| 0509F |
|
483 |
471 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
527 |
513 |
$0.00 |
| 1036F |
|
475 |
467 |
$0.00 |
| 1125F |
|
34 |
34 |
$0.00 |
| 3079F |
|
36 |
36 |
$0.00 |
| 1160F |
|
193 |
188 |
$0.00 |
| 1090F |
|
572 |
558 |
$0.00 |
| 1159F |
|
240 |
234 |
$0.00 |
| 3078F |
|
301 |
297 |
$0.00 |
| 3288F |
|
505 |
491 |
$0.00 |