| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
319 |
298 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
145 |
140 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
204 |
194 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
52 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$768.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
32 |
$549.50 |
| 81025 |
|
82 |
79 |
$413.60 |
| 87808 |
|
15 |
15 |
$219.10 |
| 81002 |
|
82 |
78 |
$210.60 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
22 |
$0.00 |