| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,482 |
2,086 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,629 |
2,208 |
$130K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
536 |
478 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
178 |
169 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
69 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
469 |
193 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
541 |
362 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
698 |
587 |
$971.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
87 |
$813.00 |
| 36416 |
|
14 |
13 |
$32.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$1.20 |
| A4215 |
Needle, sterile, any size, each |
16 |
12 |
$0.00 |