| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
985 |
793 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
475 |
377 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
149 |
$10K |
| 87428 |
|
40 |
40 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
58 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
24 |
$883.25 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$615.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
25 |
$502.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
14 |
$438.20 |
| 99421 |
|
26 |
25 |
$342.94 |
| 99051 |
|
13 |
13 |
$0.00 |