| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,407 |
8,873 |
$618K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,309 |
5,917 |
$476K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,017 |
3,473 |
$93K |
| 86328 |
|
361 |
347 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
85 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
56 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
134 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
88 |
$815.30 |
| 81002 |
|
222 |
206 |
$424.37 |
| 80305 |
|
47 |
26 |
$424.20 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
102 |
94 |
$0.00 |