| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,387 |
808 |
$61K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
195 |
121 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
193 |
103 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158 |
86 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
116 |
64 |
$747.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
38 |
$476.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23 |
13 |
$120.00 |
| 3078F |
|
1,407 |
706 |
$0.00 |
| 1160F |
|
1,727 |
849 |
$0.00 |
| 3077F |
|
77 |
38 |
$0.00 |
| 1159F |
|
1,729 |
850 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$0.00 |
| 3074F |
|
1,298 |
655 |
$0.00 |
| 3079F |
|
209 |
97 |
$0.00 |
| 3075F |
|
180 |
98 |
$0.00 |