| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
517 |
497 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
340 |
311 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
114 |
112 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
82 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
168 |
153 |
$841.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
424 |
214 |
$814.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
234 |
225 |
$443.42 |