| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
543 |
479 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
141 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
93 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
39 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
78 |
73 |
$46.92 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
173 |
158 |
$15.67 |
| 99058 |
|
732 |
688 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
24 |
$0.00 |