| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
690 |
668 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
187 |
186 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
251 |
247 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
413 |
207 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
84 |
$809.76 |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
49 |
$784.40 |
| 81003 |
|
18 |
18 |
$24.12 |