| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
792 |
697 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
403 |
$28K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
577 |
514 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
321 |
305 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
168 |
159 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
405 |
352 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
433 |
386 |
$7K |
| 81002 |
|
145 |
127 |
$367.92 |
| 87807 |
|
24 |
13 |
$241.44 |
| 81025 |
|
26 |
25 |
$132.34 |