| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
253 |
208 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
75 |
$7K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
123 |
122 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
51 |
50 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
31 |
30 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
96 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
88 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$445.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$106.30 |
| 81003 |
|
13 |
12 |
$8.12 |
| 3078F |
|
118 |
98 |
$0.00 |
| 3074F |
|
135 |
106 |
$0.00 |
| 3008F |
|
125 |
102 |
$0.00 |
| 1125F |
|
13 |
12 |
$0.00 |
| 2000F |
|
80 |
52 |
$0.00 |
| 1126F |
|
19 |
17 |
$0.00 |