| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,339 |
1,167 |
$66K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
241 |
212 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
14 |
14 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
63 |
58 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
18 |
$850.00 |
| 0134A |
|
13 |
13 |
$520.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
28 |
$317.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
14 |
$180.03 |
| 81003 |
|
163 |
152 |
$82.45 |
| 96127 |
|
14 |
13 |
$39.26 |
| 3074F |
|
1,119 |
1,001 |
$0.00 |
| 3079F |
|
224 |
203 |
$0.00 |
| 3078F |
|
825 |
747 |
$0.00 |