| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
387 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
163 |
116 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
465 |
212 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
105 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
162 |
121 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
296 |
239 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
100 |
75 |
$2K |
| 87428 |
|
17 |
17 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
16 |
$918.58 |