| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,737 |
3,422 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
542 |
508 |
$15K |
| 81000 |
|
6,607 |
5,831 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
220 |
211 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
123 |
$8K |
| 76770 |
|
57 |
54 |
$2K |
| 51798 |
|
219 |
211 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
33 |
$944.24 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$149.27 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
2,215 |
2,081 |
$0.00 |