| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
806 |
614 |
$63K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
319 |
242 |
$37K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
868 |
688 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,988 |
770 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
562 |
447 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
47 |
$5K |
| 99384 |
|
31 |
28 |
$3K |
| 99383 |
|
29 |
24 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
19 |
$1K |