| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,900 |
1,884 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,739 |
1,725 |
$70K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
663 |
655 |
$21K |
| 87428 |
|
219 |
218 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
56 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
155 |
155 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
400 |
400 |
$5K |
| 99442 |
|
127 |
124 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
107 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
51 |
51 |
$1K |
| 81002 |
|
146 |
145 |
$446.63 |