| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,141 |
2,780 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,248 |
3,594 |
$169K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
43 |
$631.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
17 |
$238.05 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
14 |
14 |
$96.19 |
| 81003 |
|
40 |
31 |
$80.88 |
| 3008F |
|
214 |
201 |
$0.00 |
| 3074F |
|
129 |
120 |
$0.00 |
| 1036F |
|
78 |
66 |
$0.00 |
| 1159F |
|
195 |
175 |
$0.00 |
| 3078F |
|
118 |
109 |
$0.00 |
| 1160F |
|
244 |
221 |
$0.00 |