| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,997 |
3,429 |
$248K |
| 87428 |
|
531 |
456 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
353 |
317 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
91 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
107 |
$1K |
| 81002 |
|
635 |
594 |
$610.48 |
| 93000 |
|
98 |
96 |
$559.21 |
| 92551 |
|
82 |
82 |
$480.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
90 |
$447.22 |
| 92552 |
|
18 |
18 |
$261.76 |
| 99173 |
|
106 |
105 |
$221.34 |
| 99072 |
|
122 |
110 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
27 |
27 |
$0.00 |