| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,359 |
2,301 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,260 |
1,238 |
$91K |
| 99051 |
|
2,962 |
2,887 |
$84K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
524 |
517 |
$7K |
| 87428 |
|
126 |
126 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
234 |
115 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$596.85 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |