| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,144 |
1,563 |
$152K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,186 |
886 |
$81K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,231 |
1,210 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,092 |
808 |
$11K |
| 99383 |
|
93 |
69 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
243 |
181 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
92 |
74 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
15 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
28 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
23 |
16 |
$1K |