| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,175 |
1,110 |
$103K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
385 |
369 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
159 |
159 |
$11K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
19 |
13 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
431 |
306 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
38 |
38 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
310 |
302 |
$3K |
| 87428 |
|
50 |
50 |
$3K |
| 87807 |
|
101 |
96 |
$963.35 |