| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,210 |
2,023 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,369 |
2,155 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,189 |
1,072 |
$73K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
635 |
601 |
$59K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
436 |
400 |
$54K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
878 |
822 |
$40K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
429 |
408 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
366 |
324 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
731 |
324 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
199 |
$3K |
| 81003 |
|
80 |
70 |
$149.72 |
| 99072 |
|
16 |
14 |
$0.00 |
| 99000 |
|
118 |
109 |
$0.00 |