| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
285 |
267 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
413 |
399 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
380 |
367 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
127 |
126 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
259 |
250 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
172 |
168 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
207 |
201 |
$3K |
| 87807 |
|
12 |
12 |
$120.72 |
| 81002 |
|
28 |
27 |
$72.80 |