| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
829 |
729 |
$19K |
| 87428 |
|
319 |
288 |
$17K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
73 |
67 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
468 |
414 |
$13K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
72 |
67 |
$10K |
| 87640 |
|
73 |
67 |
$2K |
| 87486 |
|
73 |
67 |
$2K |
| 87581 |
|
73 |
67 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60 |
49 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
21 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
24 |
$678.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$333.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$255.76 |
| 94690 |
|
30 |
16 |
$16.24 |
| 94200 |
|
30 |
16 |
$0.00 |
| 94375 |
|
30 |
16 |
$0.00 |