| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
278 |
265 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
283 |
273 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
222 |
212 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
183 |
170 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
620 |
564 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
913 |
522 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
654 |
594 |
$3K |