| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
123 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
93 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
114 |
$424.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
50 |
32 |
$392.17 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
195 |
169 |
$214.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
73 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
57 |
$0.00 |