| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,786 |
1,286 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
655 |
573 |
$30K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
83 |
73 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
173 |
84 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
78 |
$1K |