| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
653 |
552 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
214 |
195 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
193 |
172 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
27 |
$2K |
| 87428 |
|
15 |
14 |
$953.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
57 |
$910.60 |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
49 |
$678.04 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$403.20 |
| 97597 |
|
13 |
12 |
$166.68 |
| 36415 |
Collection of venous blood by venipuncture |
579 |
551 |
$8.20 |
| 3078F |
|
38 |
36 |
$0.00 |
| 3074F |
|
141 |
133 |
$0.00 |
| 3008F |
|
193 |
180 |
$0.00 |