| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
180 |
174 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133 |
128 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
71 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
86 |
84 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
138 |
113 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
36 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
104 |
$2K |
| 81025 |
|
65 |
63 |
$385.35 |
| 99000 |
|
15 |
15 |
$340.15 |
| 81002 |
|
85 |
82 |
$217.10 |
| 87807 |
|
17 |
17 |
$171.02 |