| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
311 |
232 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
184 |
130 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
65 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
154 |
122 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
40 |
$847.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
79 |
$761.23 |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
14 |
$274.34 |
| 81003 |
|
34 |
26 |
$23.66 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$21.60 |