| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,540 |
1,355 |
$113K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
177 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
282 |
271 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
156 |
152 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
28 |
26 |
$149.01 |