| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,118 |
1,000 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
325 |
273 |
$14K |
| 90739 |
|
20 |
12 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
19 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
32 |
$1K |
| 90746 |
|
16 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
39 |
$753.60 |
| 81025 |
|
103 |
85 |
$529.03 |
| 81003 |
|
93 |
88 |
$198.32 |
| 81002 |
|
15 |
12 |
$31.33 |