| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,047 |
904 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
607 |
569 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
472 |
367 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
258 |
188 |
$17K |
| 99205 |
Prolong outpt/office vis |
26 |
20 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
55 |
49 |
$861.90 |
| 99223 |
Prolong inpt eval add15 m |
20 |
12 |
$833.13 |
| 93000 |
|
86 |
79 |
$774.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
47 |
$264.00 |
| 20610 |
|
15 |
12 |
$224.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
48 |
$124.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
13 |
$98.00 |
| 81002 |
|
15 |
15 |
$30.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
33 |
29 |
$2.96 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
105 |
79 |
$0.00 |
| 3074F |
|
198 |
142 |
$0.00 |
| 3079F |
|
35 |
27 |
$0.00 |
| 3078F |
|
206 |
149 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16 |
14 |
$0.00 |