| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,590 |
1,460 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,339 |
2,247 |
$103K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
359 |
324 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
319 |
306 |
$5K |
| 87428 |
|
64 |
61 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
82 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
104 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$1K |
| 81025 |
|
198 |
177 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
20 |
20 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
23 |
$719.90 |
| 81002 |
|
218 |
198 |
$561.60 |
| 90686 |
|
26 |
24 |
$384.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
17 |
$19.69 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$3.00 |