| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,760 |
5,041 |
$612K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
875 |
769 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,607 |
742 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
93 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$109.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$0.00 |