| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,463 |
1,395 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
75 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
113 |
109 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
32 |
$1K |
| 87428 |
|
15 |
15 |
$953.85 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$595.66 |
| 87807 |
|
16 |
15 |
$160.96 |