| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,742 |
1,553 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,130 |
996 |
$117K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
201 |
$9K |
| 99215 |
Prolong outpt/office vis |
16 |
15 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
40 |
39 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
20 |
$861.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
14 |
$394.80 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
51 |
$119.06 |