| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
18 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
30 |
19 |
$873.18 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
13 |
$598.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
18 |
$402.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
17 |
$133.90 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
12 |
$9.24 |