| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,749 |
1,417 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,799 |
1,363 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,115 |
752 |
$73K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,977 |
1,580 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
356 |
254 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,445 |
905 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,148 |
875 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
207 |
186 |
$6K |
| 87807 |
|
25 |
12 |
$199.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$93.34 |
| 81002 |
|
45 |
30 |
$73.58 |
| A9150 |
Non-prescription drugs |
67 |
39 |
$0.00 |