| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
292 |
264 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
292 |
268 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
203 |
188 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
109 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
169 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
34 |
$2K |
| 99000 |
|
18 |
16 |
$485.62 |
| 81025 |
|
36 |
32 |
$209.26 |
| 87807 |
|
17 |
15 |
$165.97 |
| 81002 |
|
59 |
52 |
$145.86 |