| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
206 |
200 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
50 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
83 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
75 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
77 |
$845.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$790.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$598.00 |
| 87428 |
|
14 |
14 |
$495.95 |