| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
442 |
402 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
345 |
280 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
470 |
422 |
$11K |
| 87400 |
|
940 |
431 |
$9K |
| 87430 |
|
373 |
340 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
40 |
$4K |
| 87428 |
|
153 |
110 |
$2K |
| 99051 |
|
218 |
172 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
34 |
$783.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
71 |
$611.55 |
| A4215 |
Needle, sterile, any size, each |
90 |
67 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
90 |
68 |
$0.00 |