| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,479 |
1,287 |
$108K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
829 |
761 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
912 |
818 |
$40K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
985 |
903 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
801 |
720 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
262 |
255 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
538 |
500 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
62 |
$1K |
| 81025 |
|
210 |
202 |
$1K |
| 87807 |
|
106 |
103 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
14 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
29 |
$1K |
| 81002 |
|
302 |
283 |
$768.30 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
16 |
$315.33 |
| 99051 |
|
15 |
14 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
79 |
76 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$0.00 |