| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,528 |
1,094 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,012 |
804 |
$44K |
| 80305 |
|
1,023 |
735 |
$10K |
| 99406 |
|
817 |
542 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
296 |
157 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
53 |
$4K |
| 99199 |
Unlisted special service, procedure or report |
489 |
489 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
62 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
25 |
$353.25 |
| 87070 |
|
63 |
30 |
$156.10 |