| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
375 |
374 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
559 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
180 |
168 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
337 |
327 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
49 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$927.36 |
| 94760 |
|
85 |
81 |
$191.18 |
| 81002 |
|
92 |
86 |
$133.93 |
| 3074F |
|
107 |
99 |
$0.00 |
| 1125F |
|
56 |
53 |
$0.00 |
| 1126F |
|
73 |
69 |
$0.00 |
| 1036F |
|
105 |
100 |
$0.00 |
| 94761 |
|
81 |
75 |
$0.00 |
| 3008F |
|
145 |
134 |
$0.00 |
| 3075F |
|
17 |
17 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
96 |
90 |
$0.00 |
| 1160F |
|
95 |
89 |
$0.00 |
| 1003F |
|
142 |
132 |
$0.00 |
| 1159F |
|
120 |
115 |
$0.00 |
| 4004F |
|
100 |
91 |
$0.00 |
| 3078F |
|
127 |
116 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
86 |
83 |
$0.00 |