| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
413 |
384 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
194 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
236 |
222 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
194 |
183 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$486.70 |
| 87807 |
|
12 |
12 |
$120.72 |
| 81002 |
|
44 |
38 |
$115.55 |
| 81025 |
|
12 |
12 |
$62.04 |