| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
179 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
167 |
145 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
201 |
170 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
40 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
128 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
52 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$372.24 |
| 3074F |
|
201 |
179 |
$0.00 |
| 3078F |
|
189 |
169 |
$0.00 |