| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
266 |
253 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
322 |
272 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
148 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
48 |
48 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18 |
18 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
227 |
$1K |
| 99221 |
|
17 |
17 |
$1K |
| 87807 |
|
206 |
175 |
$706.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
70 |
$309.30 |