| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,352 |
939 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,020 |
649 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
460 |
349 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
229 |
179 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
26 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
299 |
230 |
$2K |
| 87430 |
|
68 |
46 |
$296.71 |
| 87400 |
|
35 |
28 |
$212.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
13 |
$150.61 |
| 99000 |
|
623 |
429 |
$0.00 |
| 1111F |
|
35 |
31 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |
| 1159F |
|
44 |
39 |
$0.00 |
| 1160F |
|
45 |
39 |
$0.00 |