| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,441 |
3,539 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
458 |
387 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
264 |
238 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
164 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
15 |
$463.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$167.48 |
| 36415 |
Collection of venous blood by venipuncture |
73 |
67 |
$151.58 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
219 |
175 |
$0.00 |
| 3078F |
|
134 |
116 |
$0.00 |
| 3077F |
|
32 |
31 |
$0.00 |
| 3080F |
|
30 |
28 |
$0.00 |
| 3075F |
|
49 |
40 |
$0.00 |
| 3079F |
|
116 |
99 |
$0.00 |
| 3074F |
|
185 |
158 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
55 |
45 |
$0.00 |