| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,351 |
1,345 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,591 |
1,524 |
$122K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,524 |
1,510 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,198 |
1,145 |
$64K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
545 |
535 |
$22K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
434 |
413 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
591 |
294 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
450 |
443 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
207 |
206 |
$5K |
| 81003 |
|
609 |
598 |
$1K |
| 99000 |
|
391 |
369 |
$819.27 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
39 |
$403.48 |
| 81025 |
|
54 |
53 |
$365.34 |
| 87428 |
|
13 |
13 |
$253.80 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$74.26 |
| 99051 |
|
150 |
148 |
$7.00 |
| 99072 |
|
337 |
319 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
40 |
40 |
$0.00 |