| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
56 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
95 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
46 |
26 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
12 |
$588.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
14 |
$394.07 |
| 81002 |
|
17 |
13 |
$40.56 |