| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
84 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
20 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
47 |
$890.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
26 |
$667.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
51 |
$508.40 |