| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99401 |
|
341 |
251 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
79 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
262 |
196 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
51 |
$801.74 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
14 |
$585.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
18 |
$525.36 |
| 99385 |
|
25 |
12 |
$285.90 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
44 |
31 |
$212.38 |
| 0011A |
|
15 |
12 |
$150.00 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
57 |
$35.00 |
| 86703 |
|
19 |
13 |
$7.31 |
| 3078F |
|
14 |
12 |
$0.00 |
| 3008F |
|
20 |
15 |
$0.00 |
| 3074F |
|
16 |
12 |
$0.00 |