| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,301 |
1,270 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
148 |
$9K |
| 87428 |
|
92 |
84 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
104 |
40 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
212 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
75 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
34 |
$1K |
| 87807 |
|
19 |
16 |
$191.14 |
| 81002 |
|
30 |
29 |
$78.00 |