| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
301 |
287 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
109 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
88 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
119 |
116 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
219 |
114 |
$3K |
| 87428 |
|
35 |
34 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
60 |
$569.87 |