| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
657 |
614 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
315 |
284 |
$21K |
| 87428 |
|
52 |
47 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
45 |
42 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
154 |
136 |
$934.97 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$192.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$189.23 |