| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
480 |
415 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
60 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
31 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
53 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
24 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
40 |
$1K |
| 92552 |
|
30 |
30 |
$711.20 |
| 90744 |
|
30 |
25 |
$488.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
28 |
$354.78 |
| 90715 |
|
21 |
13 |
$162.96 |
| 96160 |
|
46 |
42 |
$108.03 |
| 96127 |
|
25 |
23 |
$89.49 |
| 99173 |
|
29 |
25 |
$65.00 |
| 99000 |
|
14 |
13 |
$0.00 |