| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
189 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
189 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
164 |
122 |
$175.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
42 |
$99.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
13 |
$69.51 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
37 |
34 |
$0.00 |