| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
630 |
544 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
657 |
546 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
341 |
307 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
621 |
522 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
611 |
474 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
272 |
229 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
496 |
416 |
$8K |
| 99000 |
|
69 |
69 |
$2K |
| 81025 |
|
144 |
125 |
$809.84 |
| 87807 |
|
60 |
54 |
$592.53 |
| 81002 |
|
210 |
178 |
$545.74 |