| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,649 |
3,125 |
$161K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,367 |
1,366 |
$130K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
702 |
701 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,499 |
1,339 |
$75K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
340 |
337 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
169 |
161 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
199 |
195 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
145 |
110 |
$1K |
| 81003 |
|
208 |
206 |
$363.38 |
| 96127 |
|
41 |
40 |
$275.30 |
| 87807 |
|
15 |
15 |
$114.28 |