| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
370 |
274 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
172 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
270 |
183 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
107 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
184 |
101 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
240 |
120 |
$737.71 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
30 |
$262.50 |
| 81003 |
|
17 |
14 |
$16.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
14 |
$10.00 |