| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
569 |
516 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
540 |
507 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
335 |
305 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
272 |
254 |
$12K |
| 99000 |
|
425 |
406 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
226 |
206 |
$7K |
| 87428 |
|
106 |
96 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
391 |
355 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
241 |
196 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
30 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
14 |
$820.96 |
| 81002 |
|
12 |
12 |
$31.20 |
| 3008F |
|
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |