| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,864 |
2,292 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,960 |
1,610 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
709 |
615 |
$51K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
861 |
790 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,351 |
920 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
377 |
291 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
886 |
748 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
137 |
123 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
140 |
124 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
191 |
176 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$1K |
| 81002 |
|
408 |
342 |
$1K |
| 81025 |
|
188 |
145 |
$588.40 |
| 99000 |
|
14 |
12 |
$328.44 |
| 87807 |
|
13 |
13 |
$127.75 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
66 |
$90.20 |
| 94760 |
|
46 |
30 |
$8.80 |