| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
549 |
482 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
594 |
502 |
$29K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
603 |
485 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
221 |
189 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
552 |
421 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
199 |
177 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
564 |
451 |
$9K |
| 87807 |
|
111 |
83 |
$1K |
| 99000 |
|
34 |
34 |
$795.26 |
| 81002 |
|
142 |
118 |
$356.00 |
| 81025 |
|
43 |
38 |
$238.82 |
| 82570 |
|
31 |
27 |
$129.90 |
| 81003 |
|
31 |
27 |
$60.62 |