| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
985 |
818 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
750 |
682 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
85 |
$951.10 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$846.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
62 |
$710.72 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$179.13 |
| 1036F |
|
93 |
70 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
188 |
146 |
$0.00 |
| 3288F |
|
125 |
101 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |