| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,224 |
1,169 |
$37K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
103 |
$4K |
| 87428 |
|
56 |
54 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
111 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$670.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
19 |
$486.40 |
| 87807 |
|
25 |
25 |
$251.50 |