| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,130 |
903 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
236 |
193 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
145 |
129 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
65 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
168 |
148 |
$269.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$105.84 |
| 96127 |
|
27 |
25 |
$50.23 |
| 3725F |
|
14 |
12 |
$0.00 |