| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
414 |
364 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
520 |
444 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
123 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
260 |
227 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
189 |
166 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
248 |
195 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
224 |
196 |
$3K |
| 81025 |
|
240 |
202 |
$1K |
| 81002 |
|
267 |
235 |
$683.54 |