| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,685 |
1,618 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
358 |
340 |
$21K |
| 87428 |
|
267 |
233 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
380 |
337 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
145 |
138 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
18 |
$657.30 |
| 87807 |
|
20 |
17 |
$201.20 |
| 81003 |
|
60 |
58 |
$130.94 |