| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
113 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
63 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
72 |
72 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
67 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
63 |
$973.40 |
| 87807 |
|
16 |
16 |
$150.90 |
| 81025 |
|
13 |
13 |
$78.39 |
| 81002 |
|
28 |
28 |
$65.00 |