| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
576 |
345 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
426 |
288 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
473 |
321 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
263 |
128 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
244 |
167 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
269 |
238 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
56 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
38 |
$504.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
14 |
$120.00 |
| 90686 |
|
16 |
13 |
$100.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
63 |
$19.00 |
| 96160 |
|
26 |
17 |
$2.94 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
12 |
$0.00 |
| 99000 |
|
65 |
63 |
$0.00 |