| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,382 |
2,912 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,271 |
3,063 |
$127K |
| 87428 |
|
293 |
284 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
595 |
503 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
286 |
138 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
77 |
$3K |
| 87081 |
|
412 |
357 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
34 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
21 |
21 |
$885.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
28 |
$875.54 |
| 81001 |
|
82 |
66 |
$225.49 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37 |
29 |
$197.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20 |
12 |
$187.86 |