| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
187 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
140 |
128 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
74 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
67 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
81 |
65 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
46 |
46 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
62 |
$1K |
| 81003 |
|
31 |
25 |
$67.58 |