| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
605 |
517 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
248 |
$25K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
273 |
242 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
159 |
138 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
273 |
191 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
213 |
183 |
$3K |
| 99000 |
|
100 |
98 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$1K |
| 81025 |
|
149 |
135 |
$873.56 |
| 81002 |
|
167 |
143 |
$426.14 |
| 87807 |
|
28 |
27 |
$260.55 |