| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
387 |
352 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
464 |
415 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
245 |
238 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
328 |
279 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
166 |
141 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
186 |
158 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
94 |
85 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
84 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
39 |
38 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
102 |
95 |
$1K |
| 81003 |
|
51 |
50 |
$111.18 |