| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
872 |
744 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
174 |
164 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
83 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
253 |
238 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
41 |
38 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
19 |
$223.30 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
20 |
$84.56 |
| 81003 |
|
89 |
76 |
$39.40 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
341 |
302 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
64 |
58 |
$0.00 |