| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,568 |
3,375 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,582 |
2,421 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,856 |
1,854 |
$119K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
914 |
896 |
$80K |
| 99058 |
|
625 |
581 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
521 |
491 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,041 |
1,019 |
$13K |
| 99215 |
Prolong outpt/office vis |
158 |
156 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
685 |
420 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
331 |
322 |
$10K |
| 87428 |
|
408 |
402 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
68 |
$2K |
| 99000 |
|
435 |
425 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
351 |
343 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
16 |
16 |
$688.53 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$435.40 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$276.92 |
| 87807 |
|
15 |
15 |
$119.35 |
| 99051 |
|
148 |
147 |
$0.00 |
| 99050 |
|
228 |
220 |
$0.00 |