| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,799 |
1,751 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
202 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
66 |
$2K |
| 81002 |
|
312 |
305 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
54 |
$665.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
74 |
$478.17 |
| 81025 |
|
85 |
85 |
$343.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$178.05 |
| 3079F |
|
584 |
577 |
$0.00 |
| 3008F |
|
622 |
607 |
$0.00 |
| 3080F |
|
97 |
96 |
$0.00 |
| 3074F |
|
1,269 |
1,243 |
$0.00 |
| 3075F |
|
144 |
143 |
$0.00 |
| 3078F |
|
1,041 |
1,021 |
$0.00 |
| 3077F |
|
257 |
251 |
$0.00 |