| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
306 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
206 |
176 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
101 |
$7K |
| 87428 |
|
16 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$876.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
53 |
$863.50 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$470.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$333.45 |
| 3008F |
|
123 |
114 |
$0.00 |
| 3074F |
|
47 |
46 |
$0.00 |
| 3078F |
|
16 |
15 |
$0.00 |