| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,218 |
1,074 |
$131K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
179 |
177 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
377 |
323 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
343 |
331 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
96 |
$3K |
| 87428 |
|
46 |
46 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
19 |
$691.96 |