| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
147 |
59 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
37 |
$842.26 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$463.66 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
12 |
$335.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
12 |
$147.35 |