| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,653 |
1,422 |
$87K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,231 |
1,157 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
85 |
82 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
490 |
449 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
32 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
55 |
52 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
70 |
$695.90 |
| 71046 |
Radiologic examination, chest; 2 views |
31 |
31 |
$659.06 |
| 81002 |
|
25 |
25 |
$47.58 |