| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,330 |
2,004 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,505 |
2,160 |
$127K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
289 |
242 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$983.95 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
20 |
$875.10 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
34 |
$704.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
40 |
40 |
$632.88 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
13 |
$560.00 |
| 99173 |
|
114 |
85 |
$370.00 |
| 92551 |
|
15 |
12 |
$50.00 |
| 3074F |
|
2,322 |
2,014 |
$0.00 |
| 3079F |
|
1,017 |
915 |
$0.00 |
| 3080F |
|
14 |
13 |
$0.00 |
| 3078F |
|
1,455 |
1,276 |
$0.00 |
| 3077F |
|
74 |
66 |
$0.00 |