| Code | Description | Claims | Beneficiaries | Total Paid |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
112 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
44 |
42 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
165 |
78 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
27 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
139 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
104 |
88 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
30 |
$0.00 |