| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,066 |
1,903 |
$116K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,075 |
1,001 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
892 |
829 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
912 |
835 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,162 |
1,102 |
$29K |
| 87428 |
|
465 |
445 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
824 |
626 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
545 |
500 |
$6K |
| 87400 |
|
43 |
22 |
$220.00 |
| 81003 |
|
12 |
12 |
$33.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$10.56 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
39 |
38 |
$0.00 |
| 94760 |
|
27 |
27 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
52 |
48 |
$0.00 |