| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,784 |
1,545 |
$72K |
| 87428 |
|
133 |
130 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
77 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
93 |
90 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
216 |
187 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
70 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
24 |
$829.63 |
| 81002 |
|
34 |
24 |
$83.46 |