| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
338 |
298 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
319 |
299 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
172 |
150 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
164 |
142 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
30 |
$596.60 |
| 81025 |
|
95 |
80 |
$516.95 |
| 81002 |
|
129 |
110 |
$325.20 |