| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,156 |
1,207 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
853 |
265 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
954 |
385 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
97 |
33 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
25 |
$384.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
116 |
54 |
$326.01 |