| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
853 |
706 |
$103K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
767 |
609 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
404 |
309 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
331 |
263 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
603 |
493 |
$14K |
| 99051 |
|
1,174 |
1,009 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
598 |
240 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
279 |
228 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$245.00 |
| 81025 |
|
30 |
28 |
$136.00 |
| 99000 |
|
266 |
226 |
$40.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
12 |
$31.20 |
| 81003 |
|
239 |
205 |
$7.74 |