| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,788 |
1,494 |
$132K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
547 |
541 |
$54K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,166 |
996 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
386 |
197 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
24 |
$2K |