| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,251 |
921 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
315 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
149 |
128 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
108 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
40 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
66 |
$798.46 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
15 |
$430.52 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$27.00 |