| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,141 |
979 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
182 |
141 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
28 |
$3K |
| 90688 |
|
84 |
68 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
13 |
$928.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
32 |
$870.80 |
| 99490 |
Ccm add 20min |
15 |
12 |
$346.25 |
| 90756 |
|
13 |
12 |
$324.68 |
| 86580 |
|
65 |
56 |
$291.04 |
| 81003 |
|
143 |
105 |
$252.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
13 |
$251.20 |
| 96127 |
|
20 |
13 |
$172.67 |
| 90686 |
|
21 |
16 |
$121.60 |
| 87999 |
|
23 |
13 |
$50.03 |
| 36416 |
|
12 |
12 |
$4.10 |
| 3008F |
|
1,051 |
810 |
$0.00 |
| 1036F |
|
490 |
393 |
$0.00 |
| 1220F |
|
334 |
273 |
$0.00 |
| 3351F |
|
138 |
101 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
60 |
43 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
534 |
433 |
$0.00 |
| 4274F |
|
36 |
27 |
$0.00 |