| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
221 |
203 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
342 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
394 |
211 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
184 |
160 |
$978.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
107 |
$792.05 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
26 |
$364.00 |
| 87807 |
|
16 |
16 |
$154.30 |
| 81003 |
|
34 |
33 |
$31.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
13 |
$0.00 |
| 99173 |
|
15 |
13 |
$0.00 |
| 3008F |
|
150 |
143 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
21 |
19 |
$0.00 |