| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,261 |
1,101 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
164 |
146 |
$6K |
| 0001A |
|
135 |
118 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
42 |
$3K |
| 0002A |
|
45 |
41 |
$2K |
| 87428 |
|
29 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
36 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
60 |
$1K |
| 87807 |
|
14 |
13 |
$144.34 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
13 |
$143.90 |