| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,124 |
1,067 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
263 |
257 |
$72K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
160 |
160 |
$12K |
| 87428 |
|
60 |
59 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
122 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
49 |
$2K |
| 81002 |
|
61 |
59 |
$262.52 |
| 87081 |
|
26 |
26 |
$233.06 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$139.75 |