| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
716 |
551 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
110 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
268 |
164 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
376 |
268 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
687 |
250 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
391 |
282 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
12 |
$796.40 |