| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,906 |
4,232 |
$325K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
580 |
570 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
343 |
320 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
170 |
165 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
169 |
164 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
56 |
$727.10 |
| 87807 |
|
17 |
17 |
$178.16 |
| 81003 |
|
24 |
24 |
$41.40 |