| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,922 |
2,586 |
$198K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
159 |
158 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
106 |
$6K |
| 90677 |
|
21 |
12 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
14 |
14 |
$2K |
| 90686 |
|
83 |
55 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
25 |
$989.24 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
18 |
$817.45 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$549.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$188.40 |