| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
450 |
412 |
$33K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
552 |
509 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
338 |
303 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
114 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
252 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
63 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
76 |
$1K |
| 81025 |
|
164 |
139 |
$803.86 |
| 81002 |
|
155 |
132 |
$400.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$333.45 |
| 87905 |
|
13 |
12 |
$137.02 |