| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
254 |
217 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
329 |
281 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
276 |
225 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
271 |
218 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
73 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
203 |
163 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$3K |
| 81025 |
|
114 |
94 |
$627.30 |
| 81002 |
|
138 |
121 |
$354.64 |
| 87807 |
|
26 |
25 |
$260.55 |