| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
99 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$900.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$900.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
59 |
55 |
$0.00 |
| 94760 |
|
35 |
31 |
$0.00 |
| 99401 |
|
61 |
59 |
$0.00 |
| 99051 |
|
28 |
27 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
15 |
$0.00 |