| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
344 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
104 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
50 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
60 |
$773.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
28 |
$107.88 |
| 81003 |
|
53 |
53 |
$102.82 |
| 81025 |
|
12 |
12 |
$80.64 |