| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,493 |
1,338 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,744 |
1,603 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
752 |
727 |
$55K |
| 87428 |
|
665 |
635 |
$25K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
212 |
184 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
513 |
487 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
59 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
25 |
$315.79 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
14 |
$212.05 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$197.09 |
| 81003 |
|
51 |
50 |
$68.08 |
| 3008F |
|
54 |
46 |
$0.36 |
| 1036F |
|
33 |
31 |
$0.26 |
| 3078F |
|
14 |
12 |
$0.12 |
| 3079F |
|
17 |
13 |
$0.08 |
| 1160F |
|
18 |
12 |
$0.06 |
| 1159F |
|
18 |
12 |
$0.06 |