| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,533 |
2,340 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
773 |
732 |
$42K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
353 |
332 |
$17K |
| 87428 |
|
311 |
300 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
664 |
633 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
411 |
196 |
$6K |
| S8301 |
Infection control supplies, not otherwise specified |
407 |
387 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
47 |
41 |
$2K |
| 87077 |
|
121 |
114 |
$861.21 |
| 99000 |
|
50 |
49 |
$482.16 |
| 99001 |
|
20 |
19 |
$118.80 |
| 94760 |
|
126 |
110 |
$14.88 |