| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,080 |
1,688 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
1,395 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,077 |
765 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
816 |
596 |
$78K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,943 |
1,482 |
$68K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
862 |
540 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,954 |
802 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,527 |
940 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
160 |
101 |
$8K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
108 |
47 |
$6K |
| 87428 |
|
73 |
63 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
254 |
187 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
250 |
212 |
$3K |
| 87807 |
|
93 |
58 |
$932.58 |
| 81003 |
|
492 |
409 |
$894.40 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
12 |
$457.56 |
| 99051 |
|
25 |
16 |
$383.20 |
| 81025 |
|
53 |
50 |
$355.83 |
| 99000 |
|
765 |
504 |
$0.50 |
| 3008F |
|
1,407 |
1,205 |
$0.00 |
| 1036F |
|
629 |
528 |
$0.00 |
| 3074F |
|
1,283 |
1,100 |
$0.00 |
| 3080F |
|
69 |
54 |
$0.00 |
| 3079F |
|
385 |
324 |
$0.00 |
| 1034F |
|
210 |
163 |
$0.00 |
| 1125F |
|
592 |
508 |
$0.00 |
| 3075F |
|
58 |
54 |
$0.00 |
| 1126F |
|
155 |
148 |
$0.00 |
| 3078F |
|
1,081 |
946 |
$0.00 |
| 1160F |
|
296 |
263 |
$0.00 |
| 1159F |
|
296 |
263 |
$0.00 |
| 3077F |
|
139 |
114 |
$0.00 |