| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,571 |
3,238 |
$127K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
113 |
69 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
611 |
412 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
42 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
27 |
$1K |
| 99385 |
|
31 |
15 |
$853.80 |
| 81025 |
|
95 |
80 |
$537.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
66 |
$508.20 |
| 81000 |
|
17 |
13 |
$0.00 |
| 97803 |
|
20 |
15 |
$0.00 |