| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
574 |
435 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
818 |
604 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
105 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$767.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$297.00 |
| 3074F |
|
697 |
468 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
475 |
307 |
$0.00 |
| 1159F |
|
419 |
282 |
$0.00 |
| 3078F |
|
421 |
293 |
$0.00 |
| 1160F |
|
421 |
284 |
$0.00 |