| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
497 |
488 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
632 |
617 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
492 |
489 |
$38K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
762 |
732 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
379 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,016 |
488 |
$10K |
| 87428 |
|
106 |
106 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
180 |
177 |
$2K |
| 87430 |
|
90 |
90 |
$837.18 |
| 81003 |
|
28 |
28 |
$41.44 |