| Code | Description | Claims | Beneficiaries | Total Paid |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
107 |
101 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
39 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
90 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
55 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
83 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
31 |
$2K |
| 99000 |
|
153 |
140 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
96 |
$1K |
| 81002 |
|
15 |
14 |
$38.78 |