| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,258 |
8,601 |
$414K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,789 |
1,523 |
$122K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,898 |
2,736 |
$44K |
| 87428 |
|
650 |
634 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
670 |
650 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
450 |
446 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
298 |
281 |
$14K |
| 87807 |
|
184 |
169 |
$2K |
| 81002 |
|
704 |
631 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
84 |
82 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
72 |
63 |
$858.33 |
| 0001A |
|
48 |
48 |
$813.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$457.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$333.45 |