| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
769 |
731 |
$35K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
127 |
119 |
$4K |
| 87428 |
|
35 |
32 |
$2K |
| 0500F |
|
21 |
14 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
65 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$438.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$300.80 |