| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
484 |
412 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
386 |
354 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
69 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
459 |
446 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
271 |
265 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
321 |
164 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
24 |
$3K |
| 87400 |
|
625 |
300 |
$3K |
| 87807 |
|
107 |
105 |
$1K |