| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
891 |
510 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
516 |
291 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
271 |
145 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
91 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
440 |
259 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
945 |
262 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
320 |
168 |
$2K |
| 81003 |
|
43 |
29 |
$72.60 |