| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,675 |
1,644 |
$207K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
341 |
322 |
$239.94 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
174 |
166 |
$117.52 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
101 |
92 |
$80.47 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
105 |
$45.30 |
| 99050 |
|
28 |
27 |
$14.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
37 |
$13.89 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
79 |
$0.00 |