| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
403 |
371 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
328 |
$16K |
| 87428 |
|
151 |
144 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
125 |
$5K |
| 99215 |
Prolong outpt/office vis |
18 |
15 |
$1K |
| 90686 |
|
36 |
29 |
$624.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$580.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
24 |
$514.52 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
43 |
$17.00 |