| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
78 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
86 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
58 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
38 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
77 |
$747.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
20 |
$249.47 |