| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
769 |
683 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
52 |
$4K |
| 87428 |
|
64 |
61 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
69 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
118 |
113 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
179 |
167 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$387.40 |