| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,858 |
1,798 |
$172K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,542 |
1,479 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,480 |
1,425 |
$99K |
| 87428 |
|
788 |
767 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
382 |
365 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
502 |
481 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
760 |
746 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
102 |
97 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
83 |
79 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
151 |
146 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
53 |
$2K |
| 81025 |
|
110 |
100 |
$777.11 |
| 81002 |
|
158 |
153 |
$389.63 |
| 87400 |
|
24 |
12 |
$339.12 |
| 81003 |
|
152 |
143 |
$281.70 |
| 84703 |
|
38 |
38 |
$280.19 |
| 87905 |
|
14 |
12 |
$134.42 |
| 99000 |
|
357 |
324 |
$2.69 |