| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
132 |
126 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
56 |
53 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
29 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
36 |
30 |
$2K |
| 0012A |
|
33 |
27 |
$1K |
| 0011A |
|
31 |
26 |
$1K |
| 0013A |
|
18 |
18 |
$720.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$617.32 |
| 0031A |
|
19 |
18 |
$320.00 |
| 99072 |
|
47 |
40 |
$260.00 |
| 91303 |
|
23 |
20 |
$0.00 |
| 91301 |
|
64 |
53 |
$0.00 |