| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,660 |
1,643 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,186 |
1,146 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
513 |
506 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
933 |
916 |
$45K |
| 99051 |
|
1,360 |
1,333 |
$21K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
999 |
939 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
497 |
459 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
385 |
373 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
933 |
924 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
595 |
479 |
$9K |
| 81003 |
|
37 |
37 |
$76.23 |
| 99000 |
|
646 |
643 |
$0.00 |
| A9150 |
Non-prescription drugs |
30 |
29 |
$0.00 |