| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
678 |
623 |
$27K |
| 87428 |
|
98 |
92 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
365 |
325 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
28 |
$989.24 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$532.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$406.90 |
| 3074F |
|
366 |
310 |
$0.00 |
| 3008F |
|
472 |
408 |
$0.00 |