| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,748 |
3,158 |
$258K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,914 |
4,375 |
$232K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,526 |
2,198 |
$170K |
| 87428 |
|
2,907 |
2,547 |
$152K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
443 |
381 |
$49K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
299 |
218 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,139 |
982 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
176 |
143 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
97 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
79 |
75 |
$2K |
| 99199 |
Unlisted special service, procedure or report |
72 |
72 |
$360.00 |
| 81003 |
|
31 |
29 |
$71.50 |