| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
213 |
205 |
$7K |
| S8301 |
Infection control supplies, not otherwise specified |
155 |
149 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
78 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
87 |
82 |
$868.98 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
16 |
16 |
$13.80 |
| 99406 |
|
19 |
17 |
$0.00 |
| 97802 |
|
17 |
17 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
17 |
17 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
14 |
12 |
$0.00 |