| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,793 |
4,602 |
$223K |
| 87428 |
|
1,497 |
1,473 |
$85K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
927 |
908 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
426 |
408 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
782 |
691 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,114 |
1,094 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
863 |
415 |
$9K |
| 81025 |
|
237 |
233 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$989.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
118 |
$885.70 |
| 81002 |
|
229 |
227 |
$469.77 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$304.98 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$186.30 |
| 87210 |
|
13 |
13 |
$38.12 |