| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
455 |
428 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
667 |
562 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
117 |
114 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
128 |
126 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
111 |
$1K |
| 81003 |
|
26 |
25 |
$35.86 |
| 93000 |
|
41 |
41 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
137 |
132 |
$1.77 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |