| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
262 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
285 |
$4K |
| 87428 |
|
36 |
36 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
130 |
129 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$746.85 |
| 3074F |
|
156 |
148 |
$0.00 |
| 3008F |
|
200 |
191 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
12 |
12 |
$0.00 |