| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
349 |
344 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
114 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
73 |
71 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
31 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$750.67 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$750.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
26 |
$603.12 |
| 99442 |
|
16 |
16 |
$463.52 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$456.77 |
| 86803 |
|
12 |
12 |
$294.98 |
| 86705 |
|
12 |
12 |
$252.16 |
| 86706 |
|
12 |
12 |
$229.65 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$142.35 |
| 86592 |
|
12 |
12 |
$91.35 |
| 81002 |
|
13 |
12 |
$30.29 |