| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
619 |
579 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
264 |
240 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
376 |
350 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
140 |
136 |
$5K |
| 87428 |
|
76 |
75 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
139 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
13 |
$2K |
| 0240U |
|
13 |
13 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$716.55 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$0.00 |