| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
323 |
217 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
379 |
245 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
164 |
114 |
$7K |
| 86328 |
|
139 |
98 |
$4K |
| 99201 |
|
115 |
86 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
217 |
170 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
90 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
67 |
43 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44 |
28 |
$988.51 |
| 36416 |
|
142 |
98 |
$141.68 |