| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,138 |
1,110 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
240 |
235 |
$17K |
| 87428 |
|
381 |
371 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
143 |
136 |
$9K |
| 87070 |
|
139 |
76 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
219 |
210 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
369 |
180 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
340 |
331 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
25 |
25 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$221.31 |
| 81003 |
|
12 |
12 |
$15.72 |