| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
668 |
535 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
780 |
607 |
$39K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
698 |
534 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
282 |
235 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
637 |
481 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
249 |
211 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
619 |
460 |
$10K |
| 87807 |
|
230 |
176 |
$2K |
| 81025 |
|
247 |
192 |
$1K |
| 81002 |
|
301 |
232 |
$772.46 |
| 86318 |
|
32 |
29 |
$417.43 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$0.00 |