| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
203 |
178 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
68 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
13 |
$916.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$623.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
29 |
$363.08 |
| 1160F |
|
23 |
15 |
$0.00 |
| 1159F |
|
22 |
14 |
$0.00 |
| 3008F |
|
23 |
15 |
$0.00 |
| 3074F |
|
21 |
14 |
$0.00 |