| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
128 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
127 |
110 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
30 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
80 |
73 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
43 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
56 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
71 |
$1K |
| 81025 |
|
14 |
12 |
$81.50 |
| 81002 |
|
17 |
15 |
$41.62 |