| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,967 |
4,560 |
$376K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,653 |
2,222 |
$128K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,144 |
1,083 |
$91K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,874 |
1,443 |
$66K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,373 |
1,136 |
$63K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,313 |
1,067 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,131 |
1,017 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
698 |
495 |
$15K |
| 87428 |
|
32 |
31 |
$2K |
| 99383 |
|
16 |
14 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$787.85 |
| 81002 |
|
116 |
110 |
$296.96 |
| 87807 |
|
22 |
18 |
$221.32 |