| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
354 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
189 |
151 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
339 |
266 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184 |
158 |
$11K |
| 99000 |
|
455 |
380 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
418 |
297 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
261 |
154 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
74 |
$4K |