| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
313 |
271 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
388 |
329 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
235 |
184 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
260 |
172 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
201 |
151 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
44 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
24 |
$3K |
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
15 |
15 |
$2K |
| 99000 |
|
14 |
14 |
$351.90 |
| 87807 |
|
21 |
15 |
$209.24 |
| 81002 |
|
64 |
50 |
$163.80 |
| 81025 |
|
27 |
21 |
$151.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$0.00 |