| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,022 |
979 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
408 |
397 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
317 |
309 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
25 |
25 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
29 |
$1K |
| 87428 |
|
14 |
12 |
$804.31 |
| 81002 |
|
13 |
13 |
$33.80 |
| 3008F |
|
51 |
35 |
$0.00 |
| 1160F |
|
59 |
36 |
$0.00 |
| 1159F |
|
56 |
36 |
$0.00 |