| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,009 |
890 |
$49K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
82 |
65 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
90 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$1K |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
260 |
252 |
$0.00 |
| 1160F |
|
258 |
237 |
$0.00 |
| 1159F |
|
104 |
99 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
353 |
326 |
$0.00 |