| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
846 |
605 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
459 |
313 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
211 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
325 |
269 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
38 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
173 |
146 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$812.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
47 |
$760.53 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
13 |
$175.00 |
| 81025 |
|
30 |
27 |
$137.74 |
| 87807 |
|
15 |
15 |
$92.80 |
| 81003 |
|
169 |
141 |
$3.48 |