| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,916 |
1,681 |
$97K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
804 |
651 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
61 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
785 |
708 |
$5K |
| 87428 |
|
152 |
144 |
$4K |
| 3074F |
|
2,092 |
1,897 |
$2K |
| 96127 |
|
316 |
299 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
12 |
$767.45 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$315.50 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
193 |
169 |
$271.80 |
| 3075F |
|
67 |
53 |
$210.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
25 |
$190.08 |
| 81002 |
|
56 |
47 |
$73.68 |
| 3077F |
|
14 |
12 |
$15.00 |
| J3490 |
Unclassified drugs |
14 |
12 |
$1.03 |
| 1126F |
|
820 |
734 |
$0.00 |
| 3008F |
|
1,184 |
1,069 |
$0.00 |
| 1170F |
|
896 |
781 |
$0.00 |
| 1125F |
|
1,282 |
1,152 |
$0.00 |
| 3079F |
|
439 |
381 |
$0.00 |
| 1111F |
|
743 |
602 |
$0.00 |
| 1157F |
|
337 |
275 |
$0.00 |
| 4010F |
|
17 |
14 |
$0.00 |
| 3725F |
|
1,978 |
1,782 |
$0.00 |
| 3288F |
|
3,275 |
2,921 |
$0.00 |
| 1160F |
|
2,818 |
2,471 |
$0.00 |
| 1159F |
|
1,886 |
1,736 |
$0.00 |
| 3078F |
|
1,627 |
1,477 |
$0.00 |