| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,766 |
1,509 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,033 |
939 |
$82K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,153 |
1,083 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
622 |
497 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
282 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
744 |
704 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
551 |
525 |
$9K |
| 99000 |
|
404 |
258 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60 |
50 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
88 |
$1K |
| 0012A |
|
24 |
24 |
$1K |
| 87807 |
|
98 |
95 |
$984.87 |
| 81025 |
|
180 |
165 |
$916.10 |
| 94760 |
|
528 |
337 |
$843.22 |
| 0011A |
|
17 |
16 |
$716.38 |
| 81002 |
|
274 |
246 |
$703.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
15 |
$417.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$303.60 |
| 99072 |
|
277 |
165 |
$65.00 |
| 91301 |
|
43 |
36 |
$21.35 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$4.10 |