| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,145 |
1,057 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,447 |
1,314 |
$63K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,164 |
1,068 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
395 |
365 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,089 |
922 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
493 |
453 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
931 |
843 |
$14K |
| 99000 |
|
93 |
91 |
$2K |
| 81025 |
|
413 |
371 |
$2K |
| 81002 |
|
490 |
441 |
$1K |
| 87807 |
|
92 |
83 |
$911.38 |
| 87808 |
|
32 |
28 |
$471.11 |
| 87905 |
|
15 |
15 |
$142.31 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
14 |
$0.00 |