| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,084 |
2,582 |
$175K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,944 |
1,760 |
$158K |
| 87428 |
|
165 |
155 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
199 |
$3K |
| 80305 |
|
141 |
137 |
$1K |
| 90686 |
|
78 |
75 |
$914.89 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$552.24 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$356.86 |
| 3078F |
|
1,606 |
1,488 |
$0.14 |
| 3074F |
|
1,876 |
1,716 |
$0.12 |
| 3079F |
|
530 |
511 |
$0.05 |
| 3075F |
|
103 |
100 |
$0.02 |