| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,706 |
1,631 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
143 |
140 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
68 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
24 |
$854.99 |
| 87428 |
|
12 |
12 |
$763.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$641.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$291.00 |