| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
470 |
362 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
179 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
73 |
$3K |
| 99401 |
|
95 |
80 |
$424.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
16 |
$236.88 |
| 36415 |
Collection of venous blood by venipuncture |
125 |
104 |
$222.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$144.54 |
| 87807 |
|
15 |
13 |
$94.16 |
| 99000 |
|
166 |
128 |
$9.00 |