| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
745 |
573 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
403 |
353 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
318 |
251 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
135 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
364 |
303 |
$11K |
| 99205 |
Prolong outpt/office vis |
44 |
31 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
441 |
363 |
$4K |
| 99215 |
Prolong outpt/office vis |
81 |
52 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
296 |
123 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
20 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$714.34 |
| 87631 |
|
12 |
12 |
$608.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
23 |
$199.50 |
| 81002 |
|
99 |
80 |
$170.10 |
| 90619 |
|
25 |
19 |
$0.00 |