| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,098 |
3,803 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,886 |
1,775 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
514 |
494 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
373 |
364 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
44 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
202 |
$2K |
| 87428 |
|
24 |
24 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
78 |
$757.50 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$627.35 |
| 96160 |
|
149 |
137 |
$375.48 |
| 80053 |
Comprehensive metabolic panel |
41 |
41 |
$220.19 |
| 81002 |
|
12 |
12 |
$24.68 |
| 3078F |
|
66 |
60 |
$0.00 |
| 3725F |
|
152 |
137 |
$0.00 |
| 3077F |
|
42 |
38 |
$0.00 |
| 3074F |
|
124 |
111 |
$0.00 |
| 1125F |
|
28 |
24 |
$0.00 |
| 3075F |
|
30 |
25 |
$0.00 |
| 3079F |
|
69 |
63 |
$0.00 |
| 3080F |
|
31 |
25 |
$0.00 |