| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
138 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
154 |
122 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
55 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
52 |
45 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
25 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
161 |
123 |
$493.45 |
| 87807 |
|
151 |
117 |
$419.90 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
57 |
32 |
$280.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
121 |
43 |
$183.54 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
12 |
$178.58 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
235 |
154 |
$0.00 |