| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,684 |
1,582 |
$174K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
344 |
343 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
284 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
470 |
461 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
40 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
131 |
$640.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
243 |
236 |
$369.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
119 |
115 |
$205.24 |
| 3008F |
|
15 |
13 |
$115.00 |
| 2010F |
|
13 |
12 |
$0.00 |
| 2000F |
|
13 |
12 |
$0.00 |
| 2001F |
|
13 |
12 |
$0.00 |