| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,612 |
1,250 |
$86K |
| 99215 |
Prolong outpt/office vis |
96 |
84 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
102 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
410 |
179 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
81 |
65 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
194 |
173 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
43 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
77 |
71 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
27 |
$595.20 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$560.00 |
| 83655 |
|
51 |
37 |
$465.00 |
| 99401 |
|
55 |
34 |
$301.60 |
| 82962 |
|
70 |
54 |
$144.79 |
| 87807 |
|
12 |
12 |
$132.00 |
| 81003 |
|
61 |
48 |
$129.00 |
| 99173 |
|
36 |
28 |
$92.00 |
| 85018 |
|
52 |
37 |
$4.02 |
| 3078F |
|
828 |
645 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
80 |
56 |
$0.00 |
| 3074F |
|
940 |
716 |
$0.00 |
| 3008F |
|
559 |
460 |
$0.00 |
| 3079F |
|
143 |
117 |
$0.00 |
| 3044F |
|
61 |
34 |
$0.00 |
| 1036F |
|
67 |
52 |
$0.00 |
| 3075F |
|
58 |
38 |
$0.00 |