| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
603 |
559 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
29 |
$2K |
| 87428 |
|
15 |
13 |
$953.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
59 |
55 |
$927.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
16 |
$516.25 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$459.29 |