| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,932 |
20,541 |
$1.06M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,496 |
1,409 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
775 |
733 |
$45K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,755 |
1,700 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
551 |
526 |
$34K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
855 |
842 |
$30K |
| 99051 |
|
2,786 |
2,692 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,667 |
849 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
150 |
137 |
$1K |
| 87428 |
|
18 |
18 |
$450.00 |
| 81002 |
|
109 |
109 |
$133.11 |
| 99072 |
|
52 |
50 |
$0.00 |