| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,176 |
924 |
$59K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
400 |
341 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
85 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
436 |
376 |
$4K |
| 92552 |
|
47 |
42 |
$932.70 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
45 |
39 |
$375.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
37 |
$233.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$103.50 |
| 99050 |
|
12 |
12 |
$72.00 |
| 99173 |
|
24 |
24 |
$44.04 |
| 91300 |
|
13 |
12 |
$13.00 |