| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
279 |
252 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
312 |
291 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
97 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
166 |
158 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
78 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
90 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
143 |
$2K |
| 81025 |
|
100 |
90 |
$581.94 |
| 99000 |
|
17 |
17 |
$417.58 |
| 81002 |
|
147 |
131 |
$377.26 |
| 87808 |
|
22 |
21 |
$328.73 |
| 87807 |
|
31 |
31 |
$299.74 |
| 87905 |
|
20 |
19 |
$205.55 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$0.00 |