| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,717 |
3,837 |
$352K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,403 |
1,213 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
41 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
80 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
27 |
27 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
58 |
$954.65 |
| 90686 |
|
17 |
12 |
$272.99 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
41 |
$55.65 |
| 1036F |
|
1,622 |
1,222 |
$0.00 |
| 3017F |
|
201 |
144 |
$0.00 |
| 4004F |
|
193 |
150 |
$0.00 |