| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,531 |
1,462 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,691 |
1,599 |
$82K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
266 |
262 |
$30K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,067 |
957 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
241 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
603 |
579 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
563 |
537 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
166 |
161 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
375 |
182 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
78 |
$850.13 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$469.10 |
| 81000 |
|
43 |
42 |
$120.02 |
| 81002 |
|
30 |
30 |
$65.59 |