| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
941 |
753 |
$33K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
137 |
125 |
$10K |
| 99051 |
|
316 |
243 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
30 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
57 |
45 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$926.76 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
118 |
92 |
$687.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
16 |
$196.95 |
| 86308 |
|
23 |
13 |
$66.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
100 |
68 |
$37.05 |
| 81003 |
|
14 |
12 |
$24.64 |
| 3078F |
|
552 |
406 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
325 |
236 |
$0.00 |
| 99053 |
|
164 |
138 |
$0.00 |
| 3079F |
|
235 |
165 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
378 |
223 |
$0.00 |
| 3074F |
|
641 |
470 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
88 |
57 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
45 |
31 |
$0.00 |
| 3075F |
|
34 |
27 |
$0.00 |