| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
932 |
881 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
239 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
186 |
181 |
$10K |
| 87428 |
|
256 |
253 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
135 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
19 |
$358.76 |
| 1160F |
|
1,162 |
1,128 |
$0.00 |
| 3078F |
|
261 |
253 |
$0.00 |
| 3288F |
|
118 |
116 |
$0.00 |
| 3008F |
|
850 |
825 |
$0.00 |
| 3074F |
|
245 |
239 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |