| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
289 |
263 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
102 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
267 |
244 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
464 |
211 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
145 |
135 |
$2K |
| 99050 |
|
24 |
24 |
$89.68 |
| 99051 |
|
13 |
12 |
$0.00 |