| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
282 |
224 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
140 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
98 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
154 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
216 |
165 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
229 |
158 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
236 |
180 |
$4K |
| 99000 |
|
51 |
48 |
$1K |
| 81002 |
|
89 |
63 |
$230.36 |
| 81025 |
|
32 |
24 |
$171.11 |