| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,219 |
1,168 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
507 |
498 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
167 |
160 |
$6K |
| 87428 |
|
79 |
75 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
146 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
145 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
44 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
25 |
$496.66 |
| 87807 |
|
12 |
12 |
$119.60 |