| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,881 |
3,245 |
$264K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,690 |
2,685 |
$222K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
830 |
830 |
$50K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
510 |
498 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
959 |
467 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,124 |
2,879 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
167 |
166 |
$7K |
| 13152 |
|
15 |
14 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83 |
82 |
$2K |
| 87807 |
|
13 |
13 |
$141.48 |
| 90656 |
|
12 |
12 |
$47.06 |
| 99000 |
|
497 |
445 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
21 |
21 |
$0.00 |