| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,882 |
8,606 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
652 |
600 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
777 |
426 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
198 |
179 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
105 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
743 |
678 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
84 |
$1K |
| 95115 |
|
79 |
42 |
$795.86 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
15 |
$421.56 |
| 81002 |
|
25 |
25 |
$10.98 |
| 3074F |
|
318 |
298 |
$0.00 |
| 3079F |
|
18 |
18 |
$0.00 |
| 3078F |
|
273 |
257 |
$0.00 |