| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,427 |
1,396 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,554 |
1,434 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
691 |
673 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
379 |
189 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
249 |
247 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$968.06 |
| 99000 |
|
49 |
48 |
$174.24 |
| 81003 |
|
83 |
82 |
$172.48 |
| 3074F |
|
240 |
231 |
$0.00 |
| 3075F |
|
53 |
52 |
$0.00 |
| 1036F |
|
84 |
84 |
$0.00 |
| 3079F |
|
137 |
134 |
$0.00 |
| 3078F |
|
184 |
179 |
$0.00 |
| 3077F |
|
17 |
17 |
$0.00 |