| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
74 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
29 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
54 |
$876.06 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
12 |
$457.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
68 |
$409.77 |
| 92551 |
|
40 |
32 |
$48.12 |
| 36416 |
|
25 |
21 |
$0.00 |
| 87807 |
|
19 |
16 |
$0.00 |
| 86308 |
|
29 |
23 |
$0.00 |
| 99173 |
|
44 |
34 |
$0.00 |
| 69210 |
|
26 |
22 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
36 |
16 |
$0.00 |