| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
424 |
317 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
410 |
261 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
150 |
125 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
109 |
72 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
61 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
56 |
39 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
64 |
$824.22 |