| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,618 |
2,868 |
$286K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
470 |
418 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
340 |
279 |
$22K |
| 92523 |
|
108 |
101 |
$17K |
| 96112 |
|
201 |
174 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
211 |
118 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
58 |
54 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
99 |
$1K |
| 92551 |
|
85 |
75 |
$276.91 |