| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
139 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
107 |
91 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
47 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$696.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
53 |
$451.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
15 |
$369.88 |