| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,547 |
973 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,133 |
775 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
164 |
129 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
76 |
$764.00 |
| 1160F |
|
1,090 |
804 |
$650.00 |
| 3078F |
|
881 |
662 |
$640.02 |
| 3074F |
|
827 |
614 |
$550.02 |
| 90686 |
|
71 |
48 |
$548.98 |
| 1126F |
|
429 |
316 |
$420.03 |
| 1125F |
|
733 |
546 |
$330.00 |
| 36415 |
Collection of venous blood by venipuncture |
372 |
236 |
$298.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
39 |
$287.45 |
| 3079F |
|
387 |
309 |
$260.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
14 |
$152.67 |
| 3077F |
|
297 |
228 |
$110.00 |
| 99406 |
|
38 |
14 |
$97.10 |
| 3075F |
|
166 |
134 |
$70.00 |
| 81002 |
|
30 |
27 |
$29.61 |
| 3080F |
|
36 |
24 |
$10.00 |
| 1036F |
|
560 |
397 |
$0.00 |
| 4010F |
|
287 |
223 |
$0.00 |
| 3048F |
|
13 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25 |
18 |
$0.00 |
| 4037F |
|
18 |
17 |
$0.00 |
| 1159F |
|
156 |
125 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
787 |
590 |
$0.00 |