| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
86 |
76 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
185 |
168 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
234 |
230 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
110 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
253 |
249 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
139 |
132 |
$8K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
30 |
28 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
144 |
$2K |
| 99205 |
Prolong outpt/office vis |
23 |
23 |
$2K |
| 81025 |
|
199 |
188 |
$996.55 |
| 99000 |
|
96 |
93 |
$950.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
15 |
$526.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$410.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$344.40 |
| 81003 |
|
87 |
83 |
$181.52 |
| 81002 |
|
74 |
68 |
$176.80 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$4.10 |
| 3008F |
|
153 |
151 |
$0.00 |