| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
143 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113 |
108 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
47 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
109 |
95 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
86 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
43 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
99 |
87 |
$2K |
| 99000 |
|
37 |
37 |
$1K |
| 81002 |
|
54 |
49 |
$140.14 |
| 81025 |
|
13 |
12 |
$78.39 |