| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
352 |
303 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
138 |
87 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
107 |
88 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
113 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
96 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
166 |
131 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
20 |
$2K |
| 81025 |
|
95 |
74 |
$433.94 |
| 81002 |
|
164 |
118 |
$411.64 |