| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
613 |
480 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
58 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
118 |
118 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
40 |
$1K |
| 0001A |
|
35 |
35 |
$1K |
| 99441 |
|
47 |
47 |
$1K |
| 0002A |
|
28 |
28 |
$975.28 |
| 86769 |
|
46 |
33 |
$763.68 |
| 99442 |
|
18 |
18 |
$465.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
12 |
$89.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$79.76 |
| 91300 |
|
99 |
91 |
$0.01 |
| 99000 |
|
191 |
179 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
36 |
34 |
$0.00 |