| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
619 |
500 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
970 |
761 |
$49K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
475 |
226 |
$24K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
248 |
171 |
$11K |
| 99000 |
|
351 |
224 |
$7K |
| 96127 |
|
194 |
168 |
$3K |
| 94664 |
|
105 |
86 |
$2K |
| 0071A |
|
24 |
24 |
$1K |
| 90686 |
|
43 |
42 |
$718.53 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
35 |
$0.00 |