| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
680 |
589 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
138 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
290 |
261 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
385 |
346 |
$747.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
34 |
$685.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
34 |
$342.24 |
| 1159F |
|
801 |
696 |
$204.67 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
18 |
$96.74 |
| 99051 |
|
13 |
12 |
$90.00 |
| 3077F |
|
29 |
25 |
$69.26 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
18 |
$29.13 |
| 82947 |
|
24 |
24 |
$19.65 |
| 82043 |
|
31 |
30 |
$11.56 |
| 99490 |
Ccm add 20min |
15 |
15 |
$11.46 |
| 82570 |
|
31 |
30 |
$10.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$1.20 |
| 3074F |
|
463 |
417 |
$0.00 |
| 1126F |
|
874 |
763 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
16 |
13 |
$0.00 |
| 3008F |
|
919 |
789 |
$0.00 |
| 1125F |
|
70 |
59 |
$0.00 |
| 3079F |
|
224 |
199 |
$0.00 |
| 3061F |
|
16 |
16 |
$0.00 |
| 3075F |
|
87 |
81 |
$0.00 |
| 3080F |
|
19 |
15 |
$0.00 |
| 36416 |
|
17 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
564 |
476 |
$0.00 |
| 3288F |
|
564 |
517 |
$0.00 |
| 1160F |
|
803 |
698 |
$0.00 |
| 3078F |
|
359 |
327 |
$0.00 |