| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
753 |
717 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
486 |
486 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
440 |
440 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
558 |
537 |
$29K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
255 |
251 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
271 |
271 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
90 |
$2K |
| 81025 |
|
69 |
68 |
$484.84 |
| 81003 |
|
208 |
203 |
$377.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$369.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
31 |
$349.44 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$321.86 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$68.77 |
| G8484 |
Influenza immunization was not administered, reason not given |
12 |
12 |
$0.00 |
| 99000 |
|
27 |
27 |
$0.00 |