| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
777 |
770 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
588 |
580 |
$31K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
434 |
428 |
$15K |
| 87428 |
|
103 |
103 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
120 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$397.98 |
| 81002 |
|
13 |
13 |
$37.04 |