| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
304 |
273 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
87 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
31 |
$2K |
| 99051 |
|
265 |
199 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
91 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
46 |
$629.10 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
23 |
$575.43 |
| 87807 |
|
40 |
33 |
$308.00 |