| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
401 |
273 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
164 |
$13K |
| 87428 |
|
88 |
59 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
96 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
13 |
$922.25 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
14 |
$777.26 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
13 |
$563.40 |
| 3074F |
|
420 |
283 |
$0.00 |
| 3008F |
|
582 |
411 |
$0.00 |