| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,000 |
2,790 |
$242K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
142 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
158 |
155 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
200 |
193 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
167 |
164 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
64 |
$1K |
| 99072 |
|
279 |
261 |
$0.00 |