| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
439 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
294 |
288 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
136 |
135 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
138 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
72 |
69 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
63 |
32 |
$585.80 |
| 81000 |
|
101 |
100 |
$258.94 |
| 81025 |
|
46 |
46 |
$231.88 |