| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,770 |
2,623 |
$321K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,877 |
2,248 |
$182K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,740 |
2,753 |
$116K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,712 |
2,226 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
850 |
543 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
611 |
455 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,327 |
557 |
$23K |
| 87428 |
|
816 |
411 |
$22K |
| 99051 |
|
1,988 |
1,052 |
$15K |
| 87430 |
|
947 |
719 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
761 |
696 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
15 |
$923.58 |
| 87807 |
|
14 |
12 |
$141.45 |
| 81003 |
|
19 |
17 |
$33.24 |
| 99072 |
|
1,446 |
750 |
$0.00 |
| 99000 |
|
474 |
308 |
$0.00 |