| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313 |
243 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
16 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
14 |
$133.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
12 |
$107.28 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$83.16 |