| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
157 |
157 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
162 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
94 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
167 |
158 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
290 |
136 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
129 |
123 |
$1K |
| H0033 |
Oral medication administration, direct observation |
14 |
13 |
$880.06 |
| G9315 |
Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis |
13 |
13 |
$0.00 |
| 99072 |
|
368 |
324 |
$0.00 |