| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
851 |
772 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
829 |
736 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
73 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
84 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
74 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
40 |
32 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
52 |
$692.37 |
| 99000 |
|
80 |
67 |
$12.92 |