| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
411 |
394 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
598 |
557 |
$32K |
| T1015 |
Clinic visit/encounter, all-inclusive |
382 |
331 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
534 |
252 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
205 |
203 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
247 |
234 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
31 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$686.10 |
| 87428 |
|
17 |
17 |
$0.00 |