| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,862 |
2,224 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,427 |
1,906 |
$82K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,267 |
2,322 |
$59K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
14 |
$894.14 |
| 80305 |
|
104 |
80 |
$824.33 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
51 |
45 |
$719.77 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27 |
24 |
$623.60 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
14 |
$248.36 |
| 96127 |
|
19 |
19 |
$53.25 |
| 82962 |
|
77 |
24 |
$22.24 |