| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,907 |
1,783 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,601 |
1,454 |
$56K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
39 |
39 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
54 |
52 |
$2K |
| 80050 |
General health panel |
40 |
40 |
$2K |
| 80061 |
Lipid panel |
37 |
37 |
$500.92 |
| 87486 |
|
14 |
14 |
$393.75 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$154.00 |
| 87070 |
|
13 |
12 |
$98.67 |
| G9920 |
Screening performed and negative |
13 |
13 |
$0.00 |