| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,165 |
1,129 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
214 |
$15K |
| 87428 |
|
144 |
141 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
84 |
79 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
148 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
41 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$561.54 |
| 81025 |
|
27 |
25 |
$129.24 |
| 81002 |
|
45 |
44 |
$117.00 |