| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
7,474 |
6,376 |
$769K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,888 |
8,442 |
$707K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12,369 |
9,533 |
$505K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,718 |
4,119 |
$505K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24,230 |
10,375 |
$284K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,008 |
2,372 |
$224K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,273 |
7,058 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,767 |
1,579 |
$78K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,224 |
1,165 |
$41K |
| 81003 |
|
5,141 |
4,385 |
$9K |
| 81025 |
|
1,070 |
887 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
343 |
303 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
284 |
253 |
$4K |
| 97760 |
|
36 |
35 |
$846.45 |
| 90756 |
|
59 |
56 |
$516.60 |
| 82962 |
|
53 |
50 |
$43.64 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$32.40 |
| A9150 |
Non-prescription drugs |
137 |
129 |
$1.00 |
| 99072 |
|
834 |
796 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
44 |
42 |
$0.00 |
| 99000 |
|
23 |
23 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
123 |
120 |
$0.00 |