| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
402 |
284 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
250 |
179 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
299 |
240 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
45 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
17 |
$1K |
| 81025 |
|
81 |
45 |
$390.29 |
| 81002 |
|
105 |
56 |
$268.31 |