| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,722 |
4,144 |
$568K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,432 |
2,004 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,664 |
2,378 |
$275K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
897 |
723 |
$147K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,870 |
1,592 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
323 |
299 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
100 |
45 |
$1K |
| 99000 |
|
276 |
208 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
59 |
42 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$0.00 |
| 99072 |
|
1,249 |
1,000 |
$0.00 |
| 99051 |
|
348 |
250 |
$0.00 |