| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
422 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
196 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
164 |
126 |
$12K |
| 94060 |
|
304 |
275 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
213 |
199 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
210 |
197 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
199 |
$3K |
| 99383 |
|
14 |
14 |
$1K |
| 96127 |
|
223 |
206 |
$859.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
32 |
$298.96 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$94.20 |