| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
66 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
28 |
28 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
73 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
36 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
48 |
48 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
144 |
71 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
18 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
37 |
$485.81 |