| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
582 |
562 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
499 |
478 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
97 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
89 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
26 |
25 |
$1K |
| 81025 |
|
64 |
62 |
$298.83 |
| 81002 |
|
83 |
80 |
$195.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$88.29 |
| 3008F |
|
102 |
102 |
$0.00 |