| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,145 |
1,119 |
$87K |
| 99051 |
|
1,684 |
1,634 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
807 |
787 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
302 |
301 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
631 |
621 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
704 |
351 |
$9K |
| 87428 |
|
37 |
37 |
$857.88 |