| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,743 |
3,360 |
$226K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,272 |
1,195 |
$67K |
| 99058 |
|
632 |
521 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
591 |
589 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
105 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
280 |
273 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
186 |
100 |
$2K |
| 99000 |
|
391 |
374 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
105 |
94 |
$556.34 |
| 81002 |
|
82 |
82 |
$171.70 |
| 1111F |
|
858 |
798 |
$37.50 |
| 99072 |
|
844 |
731 |
$20.00 |
| 3074F |
|
809 |
748 |
$0.00 |
| 1031F |
|
453 |
429 |
$0.00 |
| 1000F |
|
1,566 |
1,459 |
$0.00 |
| 1036F |
|
1,151 |
1,073 |
$0.00 |
| 3079F |
|
160 |
150 |
$0.00 |
| 1034F |
|
104 |
92 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
127 |
120 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 4010F |
|
16 |
13 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
178 |
172 |
$0.00 |
| 3078F |
|
494 |
465 |
$0.00 |
| 1160F |
|
797 |
743 |
$0.00 |
| 4025F |
|
392 |
337 |
$0.00 |
| 1033F |
|
609 |
563 |
$0.00 |
| 1159F |
|
797 |
743 |
$0.00 |
| 4040F |
|
509 |
463 |
$0.00 |