| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,376 |
1,291 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
71 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
381 |
347 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
69 |
69 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
93 |
92 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
57 |
49 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
62 |
61 |
$2K |
| 81003 |
|
17 |
14 |
$35.29 |