| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,435 |
1,391 |
$145K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,739 |
1,697 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,402 |
1,349 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,309 |
1,268 |
$68K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
541 |
530 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
73 |
71 |
$3K |
| 87428 |
|
43 |
43 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$706.66 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$535.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$345.92 |
| 81002 |
|
28 |
28 |
$76.56 |
| 81003 |
|
32 |
29 |
$45.42 |
| 99000 |
|
169 |
166 |
$0.00 |