| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,741 |
2,421 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,360 |
1,181 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
372 |
339 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
202 |
186 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
301 |
223 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
394 |
300 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
64 |
$2K |
| 87428 |
|
27 |
27 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$822.24 |
| 87807 |
|
28 |
14 |
$281.68 |
| 81002 |
|
119 |
99 |
$281.36 |
| 81025 |
|
26 |
24 |
$153.77 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$134.52 |