| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,431 |
954 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,194 |
873 |
$66K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,895 |
1,282 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
351 |
267 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,464 |
894 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
285 |
219 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
877 |
615 |
$7K |
| 87807 |
|
96 |
91 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
147 |
31 |
$953.25 |
| 81002 |
|
165 |
132 |
$270.90 |
| 81025 |
|
31 |
25 |
$195.00 |
| 81003 |
|
47 |
26 |
$36.01 |