| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
592 |
417 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
799 |
586 |
$26K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
408 |
324 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
432 |
362 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
224 |
167 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
730 |
531 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
341 |
269 |
$3K |
| 87807 |
|
98 |
71 |
$541.95 |