| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
965 |
732 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
137 |
119 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
71 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
97 |
93 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
35 |
32 |
$695.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
66 |
57 |
$488.00 |
| 81003 |
|
16 |
12 |
$33.00 |
| 99000 |
|
28 |
22 |
$0.00 |
| 96160 |
|
18 |
15 |
$0.00 |