| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,125 |
2,643 |
$320K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,839 |
2,419 |
$214K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
144 |
125 |
$7K |
| 90688 |
|
134 |
118 |
$2K |
| 0012A |
|
38 |
38 |
$2K |
| 0011A |
|
40 |
38 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
54 |
$690.66 |
| 0134A |
|
18 |
16 |
$628.00 |
| 87428 |
|
14 |
12 |
$396.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
16 |
$376.64 |
| 90658 |
|
24 |
21 |
$369.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
12 |
$352.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
90 |
78 |
$256.08 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
70 |
64 |
$0.00 |