| Code | Description | Claims | Beneficiaries | Total Paid |
| 99241 |
|
242 |
234 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
242 |
198 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
260 |
190 |
$6K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
27 |
26 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
72 |
72 |
$503.02 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
93 |
80 |
$169.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
40 |
$62.80 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$47.62 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
34 |
34 |
$0.00 |