| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
115 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
71 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
37 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
26 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
38 |
27 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$718.34 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
18 |
$651.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
41 |
$628.00 |