| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,033 |
898 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
332 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
36 |
$3K |
| 96127 |
|
481 |
401 |
$1K |
| 3008F |
|
910 |
783 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
26 |
$604.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
46 |
$589.47 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
26 |
$295.29 |
| 81025 |
|
15 |
14 |
$95.55 |
| 81003 |
|
26 |
25 |
$39.72 |
| 85018 |
|
12 |
12 |
$17.55 |
| 3074F |
|
12 |
12 |
$10.00 |
| 99000 |
|
16 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
55 |
50 |
$0.00 |