| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
770 |
660 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,049 |
895 |
$55K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
745 |
651 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
281 |
248 |
$23K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
686 |
561 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
359 |
322 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
461 |
396 |
$7K |
| 99000 |
|
81 |
78 |
$2K |
| 87807 |
|
195 |
166 |
$2K |
| 81025 |
|
295 |
252 |
$2K |
| 81002 |
|
323 |
275 |
$835.38 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
28 |
$447.34 |
| 87808 |
|
12 |
12 |
$166.66 |
| 87905 |
|
12 |
12 |
$114.89 |