| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
250 |
232 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
144 |
138 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
126 |
126 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
76 |
75 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
37 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
72 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
122 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
13 |
$1K |
| 81025 |
|
58 |
56 |
$293.13 |
| 81002 |
|
88 |
84 |
$220.92 |
| 87807 |
|
14 |
14 |
$140.84 |
| S9083 |
Global fee urgent care centers |
14 |
13 |
$0.00 |