| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,874 |
1,567 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,701 |
1,426 |
$59K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
204 |
178 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
318 |
305 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
102 |
$2K |
| 87428 |
|
31 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
64 |
$951.10 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
24 |
$840.81 |
| 87807 |
|
44 |
39 |
$401.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$353.11 |
| 90688 |
|
13 |
13 |
$141.68 |
| 1159F |
|
898 |
647 |
$0.00 |
| 3078F |
|
25 |
17 |
$0.00 |
| 1160F |
|
899 |
648 |
$0.00 |
| 3008F |
|
34 |
28 |
$0.00 |
| 3074F |
|
37 |
27 |
$0.00 |