| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
695 |
589 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
238 |
199 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
361 |
312 |
$20K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
482 |
375 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
457 |
321 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
451 |
352 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
66 |
$4K |
| 99000 |
|
94 |
91 |
$2K |
| 81025 |
|
164 |
140 |
$953.31 |
| 81002 |
|
220 |
184 |
$562.14 |
| 87807 |
|
31 |
26 |
$308.83 |