| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
394 |
372 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
272 |
253 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
51 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
50 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
40 |
$1K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
261 |
218 |
$7.50 |