| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
308 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
374 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
135 |
131 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
148 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
45 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
138 |
$2K |
| 81025 |
|
32 |
31 |
$190.56 |
| 87807 |
|
16 |
15 |
$160.96 |
| 81002 |
|
45 |
43 |
$115.96 |