| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
47 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
228 |
78 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
26 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
55 |
$863.84 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$127.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
16 |
$101.85 |