| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
35,208 |
19,985 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,190 |
840 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175 |
144 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
26 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
83 |
53 |
$1K |
| 99050 |
|
54 |
47 |
$1K |
| 96127 |
|
192 |
138 |
$516.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
18 |
$310.86 |
| 1159F |
|
710 |
472 |
$0.05 |
| 1160F |
|
311 |
223 |
$0.03 |
| 3074F |
|
118 |
85 |
$0.02 |
| 3079F |
|
20 |
13 |
$0.01 |
| 3078F |
|
44 |
29 |
$0.00 |
| 99072 |
|
33 |
30 |
$0.00 |