| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
428 |
396 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
560 |
464 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
58 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
251 |
223 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
108 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
37 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
121 |
105 |
$1K |
| 81003 |
|
130 |
116 |
$105.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29 |
27 |
$42.02 |
| 1036F |
|
113 |
91 |
$0.00 |
| 99000 |
|
108 |
102 |
$0.00 |
| 94760 |
|
118 |
108 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
46 |
37 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
254 |
193 |
$0.00 |
| 4004F |
|
43 |
30 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
127 |
92 |
$0.00 |
| 99051 |
|
433 |
370 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
388 |
285 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
60 |
49 |
$0.00 |