| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
109 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
86 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
96 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
31 |
31 |
$1K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$847.76 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$712.94 |