| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
814 |
382 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
388 |
274 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
419 |
228 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
364 |
220 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
410 |
164 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
168 |
132 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
336 |
113 |
$982.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
194 |
127 |
$707.84 |
| 99051 |
|
138 |
34 |
$189.00 |
| 81002 |
|
48 |
26 |
$2.24 |