| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,040 |
3,443 |
$230K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
74 |
69 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
173 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
39 |
$2K |
| 87428 |
|
43 |
42 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
109 |
102 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$369.18 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
13 |
$298.02 |
| 90686 |
|
12 |
12 |
$197.90 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
13 |
$18.00 |
| 3074F |
|
52 |
49 |
$0.00 |
| 3079F |
|
13 |
12 |
$0.00 |