| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,467 |
2,208 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
128 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
600 |
550 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
231 |
221 |
$7K |
| 87428 |
|
71 |
71 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
46 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
44 |
44 |
$2K |
| 87807 |
|
15 |
15 |
$156.90 |
| 81002 |
|
12 |
12 |
$29.64 |