| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,063 |
1,001 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
187 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
93 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
109 |
97 |
$4K |
| 87428 |
|
39 |
36 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
22 |
$782.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
40 |
$650.64 |