| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,005 |
2,431 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,481 |
1,161 |
$82K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
966 |
896 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,609 |
1,217 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
582 |
360 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
802 |
573 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,074 |
1,538 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
231 |
127 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
715 |
592 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
15 |
$209.70 |
| 87807 |
|
22 |
15 |
$63.12 |
| 81002 |
|
16 |
13 |
$29.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
105 |
82 |
$13.06 |