| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
209 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
259 |
238 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
190 |
176 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
216 |
174 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
144 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
44 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
20 |
$2K |
| 99000 |
|
23 |
23 |
$584.15 |
| 87807 |
|
24 |
24 |
$241.44 |
| 81025 |
|
26 |
24 |
$144.22 |
| 81002 |
|
43 |
38 |
$111.54 |