| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,614 |
6,344 |
$318K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,829 |
2,468 |
$174K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,051 |
3,340 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,010 |
718 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,197 |
943 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
641 |
592 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,517 |
1,424 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
990 |
619 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
52 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
146 |
131 |
$5K |
| 87807 |
|
164 |
150 |
$2K |
| 99072 |
|
304 |
251 |
$540.00 |
| 0001A |
|
13 |
13 |
$440.00 |
| 0071A |
|
13 |
12 |
$400.00 |
| 81003 |
|
30 |
28 |
$42.94 |
| 91307 |
|
36 |
30 |
$0.00 |
| 99000 |
|
16 |
14 |
$0.00 |
| 91300 |
|
61 |
59 |
$0.00 |
| 99051 |
|
21 |
20 |
$0.00 |