| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
295 |
275 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
256 |
244 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
66 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
137 |
128 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
119 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
128 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| 81025 |
|
125 |
116 |
$731.67 |
| 99000 |
|
18 |
15 |
$431.65 |
| 87808 |
|
30 |
30 |
$431.17 |
| 81002 |
|
149 |
141 |
$375.98 |
| 87905 |
|
25 |
25 |
$255.10 |