| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
40 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53 |
46 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$285.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
40 |
$240.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$144.06 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
54 |
$116.70 |
| 1126F |
|
153 |
142 |
$0.00 |
| 3074F |
|
78 |
69 |
$0.00 |
| 3008F |
|
202 |
184 |
$0.00 |
| 3079F |
|
25 |
25 |
$0.00 |
| 1160F |
|
125 |
115 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
69 |
62 |
$0.00 |
| 3078F |
|
67 |
59 |
$0.00 |
| 1159F |
|
125 |
115 |
$0.00 |
| 3288F |
|
16 |
15 |
$0.00 |