| Code | Description | Claims | Beneficiaries | Total Paid |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
122 |
113 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
74 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
88 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
135 |
112 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
29 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
46 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
49 |
$994.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
29 |
$347.82 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
27 |
24 |
$0.00 |
| 4004F |
|
30 |
27 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
104 |
99 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
53 |
50 |
$0.00 |