| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
754 |
494 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
371 |
268 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
374 |
255 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
375 |
242 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
152 |
106 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
155 |
$2K |
| 87807 |
|
96 |
72 |
$791.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
50 |
$638.41 |
| 99401 |
|
43 |
31 |
$536.54 |
| 81003 |
|
76 |
58 |
$94.18 |
| 87400 |
|
29 |
14 |
$65.01 |
| 81002 |
|
42 |
24 |
$47.23 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
25 |
18 |
$0.00 |