| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
152 |
149 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
91 |
$8K |
| 87428 |
|
27 |
27 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
43 |
43 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
67 |
$934.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
46 |
$634.70 |