| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,333 |
3,801 |
$844K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,519 |
1,392 |
$249K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
13 |
$534.38 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
89 |
81 |
$342.50 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$87.22 |
| 96127 |
|
13 |
12 |
$10.12 |