| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,377 |
1,326 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
727 |
707 |
$45K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
728 |
711 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
617 |
603 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
197 |
196 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
476 |
467 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$2K |
| 87807 |
|
52 |
51 |
$522.11 |
| 81025 |
|
32 |
30 |
$160.27 |
| 81002 |
|
29 |
27 |
$75.40 |