| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
323 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
167 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
172 |
112 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
51 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
179 |
116 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
134 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
46 |
$3K |
| 81025 |
|
86 |
57 |
$481.77 |
| 87807 |
|
44 |
28 |
$439.61 |
| 81002 |
|
113 |
81 |
$286.26 |