| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,093 |
3,466 |
$345K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,185 |
2,718 |
$220K |
| 99307 |
|
590 |
451 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
108 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
51 |
50 |
$760.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
43 |
$676.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
19 |
$660.03 |
| 87807 |
|
21 |
20 |
$244.65 |
| 90674 |
|
12 |
12 |
$164.22 |