| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,389 |
4,706 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,201 |
1,062 |
$78K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
447 |
396 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,021 |
514 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
543 |
521 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
24 |
$1K |
| 85018 |
|
209 |
189 |
$554.32 |
| 83655 |
|
17 |
17 |
$290.52 |
| 85014 |
|
75 |
71 |
$206.18 |
| 87807 |
|
13 |
13 |
$143.11 |
| 99174 |
|
14 |
14 |
$0.00 |