| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
337 |
273 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
189 |
144 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
31 |
26 |
$868.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
29 |
$229.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
23 |
$188.52 |