| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,317 |
2,182 |
$160K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,356 |
1,253 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,652 |
1,451 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,703 |
1,514 |
$90K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,378 |
1,250 |
$37K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
976 |
889 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
978 |
414 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
378 |
349 |
$5K |
| 81025 |
|
412 |
370 |
$3K |
| 81003 |
|
765 |
685 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$348.65 |
| 99000 |
|
120 |
117 |
$318.09 |
| 81002 |
|
148 |
128 |
$189.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$27.12 |