| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
487 |
424 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
499 |
439 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
564 |
504 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
177 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
252 |
232 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
72 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
127 |
$2K |
| 87807 |
|
26 |
25 |
$261.56 |
| 81025 |
|
30 |
28 |
$149.93 |
| 81002 |
|
31 |
28 |
$80.60 |