| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,022 |
1,739 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
126 |
124 |
$7K |
| 99385 |
|
84 |
84 |
$6K |
| 81025 |
|
185 |
179 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
69 |
$839.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
69 |
$830.55 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
14 |
$624.18 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
31 |
$0.00 |