| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
242 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
195 |
122 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
460 |
358 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
740 |
291 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
299 |
233 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
24 |
$215.20 |