| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,018 |
3,004 |
$191K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,081 |
2,806 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,084 |
1,925 |
$153K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,552 |
1,552 |
$146K |
| 99058 |
|
166 |
135 |
$9K |
| 99001 |
|
116 |
109 |
$444.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
48 |
$410.70 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$353.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$91.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
67 |
$54.84 |
| 99000 |
|
16 |
15 |
$35.00 |
| 99051 |
|
93 |
92 |
$0.00 |