| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
677 |
629 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
207 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
90 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
231 |
217 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
57 |
56 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
53 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
29 |
$1K |
| 99000 |
|
12 |
12 |
$328.44 |
| 87808 |
|
19 |
19 |
$275.22 |
| 81025 |
|
42 |
42 |
$247.23 |
| 87807 |
|
12 |
12 |
$120.72 |
| 86580 |
|
14 |
13 |
$72.58 |
| 81002 |
|
23 |
23 |
$59.80 |