| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
846 |
650 |
$48K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
370 |
267 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
309 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
118 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
180 |
88 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
473 |
364 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
500 |
417 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
69 |
$752.20 |
| 36415 |
Collection of venous blood by venipuncture |
481 |
372 |
$520.44 |
| 87428 |
|
108 |
99 |
$50.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
29 |
26 |
$12.68 |
| 3078F |
|
254 |
147 |
$0.00 |
| 3077F |
|
14 |
13 |
$0.00 |
| 3079F |
|
151 |
100 |
$0.00 |
| 3074F |
|
323 |
205 |
$0.00 |
| 3008F |
|
133 |
98 |
$0.00 |
| 1125F |
|
22 |
18 |
$0.00 |