| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
73 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
114 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
107 |
96 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
94 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
31 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
43 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
76 |
$1K |
| 87807 |
|
13 |
13 |
$110.66 |