| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
287 |
240 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
406 |
344 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
117 |
108 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
308 |
262 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
101 |
90 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
117 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
21 |
12 |
$422.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
29 |
$162.61 |
| 36416 |
|
31 |
29 |
$102.50 |