| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
405 |
362 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
176 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
202 |
194 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
66 |
$6K |
| 99000 |
|
412 |
380 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
46 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$718.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$500.80 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
13 |
$496.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
28 |
$423.90 |
| 81025 |
|
57 |
48 |
$289.51 |
| 81003 |
|
103 |
87 |
$224.54 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
45 |
27 |
$152.91 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
24 |
17 |
$80.28 |
| 81002 |
|
16 |
16 |
$41.60 |
| 94760 |
|
16 |
16 |
$40.64 |