| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
591 |
339 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
261 |
162 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
20 |
$474.32 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
55 |
$322.72 |
| 36415 |
Collection of venous blood by venipuncture |
197 |
127 |
$319.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
42 |
$235.56 |
| 80305 |
|
48 |
29 |
$34.65 |