| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
124 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
106 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
62 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12 |
12 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
40 |
40 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
30 |
29 |
$968.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
45 |
$788.24 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17 |
16 |
$554.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$546.05 |