| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,768 |
12,278 |
$989K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,486 |
2,313 |
$261K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
571 |
565 |
$58K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
305 |
300 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
81 |
77 |
$5K |
| 0001A |
|
141 |
137 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
110 |
108 |
$4K |
| 0002A |
|
132 |
129 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
35 |
$1K |
| 0011A |
|
25 |
25 |
$840.00 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
25 |
$517.12 |
| 0012A |
|
13 |
13 |
$440.00 |
| 81003 |
|
56 |
55 |
$225.58 |
| 81002 |
|
12 |
12 |
$105.00 |
| 91301 |
|
63 |
56 |
$0.00 |
| 91300 |
|
282 |
260 |
$0.00 |