| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
112 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
54 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
70 |
$399.28 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
120 |
108 |
$82.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
69 |
$31.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
48 |
40 |
$0.00 |