| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,014 |
1,677 |
$67K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,398 |
2,143 |
$42K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,289 |
1,835 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,247 |
1,041 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
547 |
424 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,587 |
2,142 |
$22K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
312 |
299 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
165 |
144 |
$7K |
| 96127 |
|
651 |
609 |
$3K |
| 87807 |
|
136 |
94 |
$772.23 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
13 |
$184.45 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
15 |
$108.63 |
| 81003 |
|
92 |
78 |
$10.70 |
| 3725F |
|
276 |
270 |
$0.00 |
| S9083 |
Global fee urgent care centers |
32 |
32 |
$0.00 |
| 3351F |
|
201 |
198 |
$0.00 |