| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,872 |
4,095 |
$375K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,634 |
3,086 |
$198K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,774 |
3,819 |
$102K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,387 |
2,765 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
651 |
533 |
$60K |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,915 |
8,979 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,606 |
3,930 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
604 |
490 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,070 |
1,008 |
$29K |
| 96127 |
|
4,756 |
3,979 |
$18K |
| 87807 |
|
32 |
24 |
$274.27 |
| 81003 |
|
143 |
130 |
$217.71 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
12 |
$79.31 |
| 3725F |
|
1,490 |
1,280 |
$0.00 |
| 3351F |
|
1,069 |
894 |
$0.00 |
| 3352F |
|
61 |
52 |
$0.00 |
| 3353F |
|
26 |
24 |
$0.00 |