| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
764 |
628 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
838 |
611 |
$47K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
136 |
89 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
585 |
516 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
130 |
85 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,195 |
531 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
133 |
83 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
749 |
610 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
30 |
$2K |
| 87807 |
|
25 |
25 |
$0.00 |