| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
302 |
290 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$7K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
182 |
180 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
63 |
63 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
181 |
180 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
176 |
174 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
55 |
$2K |