| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,828 |
3,090 |
$188K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
468 |
443 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
309 |
267 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
188 |
171 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
24 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
137 |
95 |
$1K |
| 81003 |
|
98 |
90 |
$210.81 |
| 87807 |
|
12 |
12 |
$121.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
12 |
$19.91 |