| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,394 |
1,358 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
344 |
$18K |
| 87428 |
|
331 |
327 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
93 |
92 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
138 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
80 |
78 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
170 |
170 |
$1K |
| 81003 |
|
37 |
37 |
$121.35 |