| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
522 |
520 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
198 |
198 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
455 |
452 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
142 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
115 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
130 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
42 |
$850.33 |