| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,519 |
1,327 |
$46K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
360 |
336 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
324 |
300 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
437 |
410 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
33 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
20 |
19 |
$233.80 |
| 99072 |
|
132 |
116 |
$15.00 |
| 1126F |
|
217 |
213 |
$0.99 |
| 1125F |
|
35 |
34 |
$0.26 |
| 1159F |
|
279 |
274 |
$0.00 |
| 1160F |
|
280 |
275 |
$0.00 |