| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,663 |
2,846 |
$99K |
| 80305 |
|
979 |
831 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
442 |
371 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
220 |
196 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
52 |
45 |
$2K |
| 90686 |
|
277 |
250 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
42 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
131 |
87 |
$2K |
| 87428 |
|
23 |
20 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$632.83 |
| 99000 |
|
184 |
143 |
$627.20 |
| 87807 |
|
19 |
17 |
$308.56 |
| 90756 |
|
30 |
30 |
$286.64 |