| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,432 |
1,001 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
497 |
269 |
$29K |
| 87428 |
|
529 |
298 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
513 |
420 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
373 |
232 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
865 |
362 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
252 |
119 |
$7K |
| 99051 |
|
310 |
162 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
83 |
$943.57 |
| 99000 |
|
396 |
170 |
$0.00 |