| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,914 |
1,669 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
576 |
452 |
$35K |
| 87428 |
|
147 |
143 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
250 |
108 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
275 |
226 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
65 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
23 |
22 |
$966.23 |
| 90688 |
|
47 |
46 |
$472.40 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$431.03 |
| 87081 |
|
79 |
60 |
$374.68 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$76.80 |