| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,819 |
1,677 |
$75K |
| 87428 |
|
152 |
146 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
95 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
119 |
107 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
269 |
238 |
$4K |
| 87807 |
|
69 |
68 |
$694.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
15 |
$500.80 |
| 81003 |
|
29 |
28 |
$63.22 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
21 |
$0.00 |