| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,549 |
1,384 |
$95K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
437 |
375 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
946 |
879 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
287 |
243 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
371 |
336 |
$8K |
| 87400 |
|
1,331 |
612 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
42 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
26 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
17 |
$26.37 |
| 3078F |
|
430 |
352 |
$0.00 |
| 3074F |
|
608 |
483 |
$0.00 |
| 3079F |
|
40 |
27 |
$0.00 |