| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,702 |
2,876 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,006 |
1,597 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
71 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
184 |
125 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
70 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
361 |
277 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
398 |
144 |
$5K |
| 96160 |
|
491 |
377 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
134 |
87 |
$2K |
| 99401 |
|
109 |
80 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 80305 |
|
116 |
94 |
$962.00 |
| 96127 |
|
238 |
199 |
$885.06 |
| 93000 |
|
32 |
26 |
$571.20 |
| 81025 |
|
66 |
53 |
$299.00 |
| 81002 |
|
187 |
154 |
$242.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
24 |
$213.64 |
| 3074F |
|
3,576 |
2,726 |
$0.00 |
| 3008F |
|
4,440 |
3,361 |
$0.00 |
| 3079F |
|
1,788 |
1,419 |
$0.00 |
| 3075F |
|
119 |
97 |
$0.00 |
| 3080F |
|
232 |
185 |
$0.00 |
| 94760 |
|
51 |
44 |
$0.00 |
| 3078F |
|
2,214 |
1,719 |
$0.00 |
| 3077F |
|
71 |
55 |
$0.00 |