| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
541 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
288 |
217 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
133 |
89 |
$734.53 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
62 |
$79.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
14 |
$14.90 |