| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,870 |
1,763 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
341 |
309 |
$24K |
| 87428 |
|
375 |
359 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
60 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
134 |
123 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
159 |
149 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
30 |
$932.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$279.06 |