| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
417 |
384 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
509 |
434 |
$19K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
582 |
531 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
532 |
485 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
396 |
189 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
725 |
646 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$175.17 |