| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,741 |
3,485 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
423 |
396 |
$34K |
| 36415 |
Collection of venous blood by venipuncture |
696 |
655 |
$3K |
| 0012A |
|
28 |
28 |
$885.17 |
| 0011A |
|
28 |
27 |
$796.89 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
18 |
$697.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$387.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$386.88 |
| 91301 |
|
48 |
41 |
$0.00 |