| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
278 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
180 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
131 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
178 |
160 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
167 |
159 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
170 |
119 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
47 |
$359.34 |
| 99000 |
|
179 |
165 |
$97.91 |
| 81002 |
|
42 |
39 |
$43.20 |
| 99051 |
|
88 |
83 |
$0.00 |