| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,900 |
8,688 |
$513K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,976 |
1,884 |
$108K |
| 99051 |
|
1,085 |
1,034 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
145 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$915.31 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
18 |
$317.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
60 |
$246.60 |
| 90756 |
|
13 |
13 |
$167.70 |
| 81003 |
|
15 |
15 |
$83.86 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$49.64 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
14 |
$23.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$19.35 |
| 94760 |
|
41 |
41 |
$0.00 |