| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
92 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151 |
114 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
61 |
52 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
31 |
$1K |
| 97803 |
|
31 |
31 |
$502.56 |
| 92552 |
|
25 |
24 |
$481.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$436.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
44 |
$407.08 |
| 90686 |
|
13 |
13 |
$161.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
16 |
$119.16 |
| 81002 |
|
24 |
19 |
$44.10 |
| 99403 |
|
17 |
17 |
$0.00 |
| 99173 |
|
39 |
25 |
$0.00 |