| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,438 |
4,417 |
$406K |
| 99199 |
Unlisted special service, procedure or report |
18,964 |
8,897 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,477 |
1,187 |
$76K |
| 99051 |
|
2,127 |
1,929 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,864 |
1,704 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
367 |
290 |
$40K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
866 |
776 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
515 |
412 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
299 |
269 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,856 |
1,625 |
$23K |
| 87428 |
|
485 |
290 |
$21K |
| 96127 |
|
1,106 |
999 |
$4K |
| 81003 |
|
24 |
24 |
$60.94 |
| 3078F |
|
2,718 |
2,206 |
$0.00 |
| 3008F |
|
877 |
654 |
$0.00 |
| 99000 |
|
173 |
99 |
$0.00 |
| 3074F |
|
3,054 |
2,456 |
$0.00 |
| 3079F |
|
123 |
103 |
$0.00 |