| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
507 |
453 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
800 |
667 |
$44K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
424 |
368 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
440 |
319 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
125 |
100 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
372 |
313 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 99000 |
|
12 |
12 |
$281.52 |
| 81025 |
|
43 |
40 |
$257.83 |
| 81002 |
|
87 |
80 |
$225.68 |
| 87807 |
|
15 |
14 |
$150.90 |