| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
195 |
172 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
286 |
254 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
178 |
153 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
112 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
54 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
174 |
141 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
190 |
157 |
$3K |
| 99000 |
|
17 |
16 |
$445.74 |
| 81002 |
|
34 |
28 |
$88.40 |