| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99350 |
Prolong home eval add 15m |
2,247 |
2,130 |
$414K |
| 99215 |
Prolong outpt/office vis |
626 |
591 |
$118K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
82 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111 |
105 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
67 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
26 |
$65.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
77 |
74 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
31 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
38 |
38 |
$0.00 |