| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
475 |
410 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
383 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
206 |
182 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
399 |
343 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
372 |
311 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
138 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
360 |
311 |
$6K |
| 81025 |
|
89 |
73 |
$489.60 |
| 81002 |
|
162 |
138 |
$417.84 |
| 87807 |
|
29 |
25 |
$290.73 |