| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,862 |
2,180 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,887 |
1,400 |
$119K |
| 99199 |
Unlisted special service, procedure or report |
14,393 |
8,792 |
$58K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
581 |
390 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
471 |
330 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
200 |
148 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
122 |
92 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
653 |
252 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
267 |
170 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
336 |
249 |
$4K |
| 96127 |
|
60 |
41 |
$260.84 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$156.26 |
| 81003 |
|
19 |
13 |
$33.24 |
| 3078F |
|
45 |
35 |
$0.01 |
| 3074F |
|
66 |
49 |
$0.01 |
| 3075F |
|
18 |
12 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 3079F |
|
22 |
16 |
$0.00 |