| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,410 |
3,407 |
$331K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
377 |
369 |
$31K |
| 99215 |
Prolong outpt/office vis |
340 |
283 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,017 |
722 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
797 |
495 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
634 |
455 |
$19K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
174 |
163 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
76 |
58 |
$5K |
| 92551 |
|
546 |
482 |
$4K |
| 81025 |
|
168 |
148 |
$946.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$883.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
59 |
$761.54 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
42 |
$630.24 |
| 0011A |
|
21 |
14 |
$444.96 |
| 99051 |
|
15 |
15 |
$330.78 |
| 99173 |
|
623 |
543 |
$281.41 |
| 81003 |
|
150 |
128 |
$208.32 |
| 90840 |
|
14 |
12 |
$0.00 |
| 91301 |
|
22 |
21 |
$0.00 |