| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,888 |
7,140 |
$611K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,882 |
4,695 |
$388K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,131 |
1,931 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,150 |
1,070 |
$79K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
137 |
108 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
71 |
$139.00 |
| 87430 |
|
51 |
50 |
$42.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$27.02 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
17 |
$0.00 |
| 87807 |
|
15 |
15 |
$0.00 |
| 87400 |
|
24 |
12 |
$0.00 |
| 99442 |
|
15 |
15 |
$0.00 |