| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
883 |
875 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
833 |
825 |
$46K |
| 87428 |
|
142 |
142 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
222 |
222 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
167 |
$4K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
118 |
112 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
155 |
$2K |
| 81002 |
|
73 |
73 |
$219.67 |
| 3078F |
|
14 |
14 |
$0.00 |