| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
807 |
754 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
710 |
677 |
$32K |
| 87428 |
|
140 |
134 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
107 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
62 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
197 |
172 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
65 |
63 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
126 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
59 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
56 |
52 |
$1K |
| 81003 |
|
29 |
28 |
$63.22 |