| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
642 |
420 |
$16K |
| 99199 |
Unlisted special service, procedure or report |
2,265 |
2,224 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
225 |
135 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
130 |
90 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
66 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| 80305 |
|
264 |
171 |
$413.91 |
| 99000 |
|
153 |
116 |
$0.00 |
| 99072 |
|
26 |
12 |
$0.00 |