| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
254 |
249 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
323 |
321 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
104 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108 |
103 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
113 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
420 |
207 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
166 |
165 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
18 |
$670.32 |
| 81003 |
|
12 |
12 |
$22.61 |