| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
26 |
$431.57 |
| 87430 |
|
220 |
210 |
$360.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
602 |
523 |
$298.92 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
57 |
$121.37 |
| T1015 |
Clinic visit/encounter, all-inclusive |
738 |
641 |
$64.73 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
77 |
73 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
177 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
102 |
98 |
$0.00 |
| 87420 |
|
13 |
13 |
$0.00 |