| Code | Description | Claims | Beneficiaries | Total Paid |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,566 |
883 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,544 |
881 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,227 |
835 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
449 |
147 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
28 |
$0.00 |
| 81003 |
|
46 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,602 |
889 |
$0.00 |
| 87807 |
|
139 |
36 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
132 |
41 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,027 |
354 |
$0.00 |