| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
388 |
361 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
143 |
132 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
176 |
168 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
138 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
39 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
129 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$421.08 |
| 87807 |
|
13 |
13 |
$125.75 |
| 81003 |
|
27 |
26 |
$53.75 |