| Code | Description | Claims | Beneficiaries | Total Paid |
| 87631 |
|
1,744 |
1,733 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,434 |
2,319 |
$166K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
564 |
542 |
$48K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
268 |
205 |
$38K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
78 |
76 |
$22K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
459 |
427 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
26 |
$2K |
| 87481 |
|
31 |
28 |
$2K |
| 87581 |
|
78 |
76 |
$2K |
| 87486 |
|
78 |
76 |
$2K |
| 87640 |
|
66 |
65 |
$2K |
| 87653 |
|
60 |
57 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$622.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
40 |
$547.38 |
| 87541 |
|
12 |
12 |
$374.76 |
| 81003 |
|
29 |
29 |
$51.76 |
| 99000 |
|
13 |
13 |
$0.00 |
| 99051 |
|
44 |
43 |
$0.00 |