| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
245 |
197 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
97 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
41 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
122 |
95 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
55 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
88 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
26 |
$1K |
| 81025 |
|
52 |
43 |
$292.38 |
| 81002 |
|
87 |
74 |
$217.92 |
| 87807 |
|
16 |
13 |
$155.91 |