| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
822 |
759 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,038 |
909 |
$51K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
565 |
528 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
321 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
184 |
177 |
$3K |
| 81025 |
|
351 |
322 |
$2K |
| 81002 |
|
412 |
368 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$664.88 |
| 87807 |
|
18 |
17 |
$181.08 |