| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
250 |
243 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
204 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
193 |
185 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
232 |
158 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
39 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
56 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
145 |
$2K |
| 81025 |
|
49 |
47 |
$286.44 |
| 87807 |
|
25 |
25 |
$248.47 |
| 81002 |
|
70 |
67 |
$180.44 |