| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
324 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
107 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
28 |
$835.13 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
21 |
$630.27 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
14 |
$618.58 |
| 96127 |
|
108 |
96 |
$508.33 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
14 |
$219.45 |
| 99173 |
|
13 |
13 |
$0.00 |