| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
174 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
45 |
28 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
55 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
105 |
$2K |
| 99310 |
Prolong nursin fac eval 15m |
111 |
58 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
114 |
80 |
$799.66 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$600.61 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
46 |
33 |
$144.51 |
| 99307 |
|
25 |
19 |
$99.01 |