| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,373 |
1,369 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
247 |
245 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,387 |
2,226 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
701 |
657 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
433 |
416 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
102 |
$223.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
207 |
204 |
$170.95 |
| 81003 |
|
12 |
12 |
$2.96 |