| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,704 |
3,139 |
$180K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,791 |
2,361 |
$138K |
| 95144 |
|
222 |
41 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
366 |
344 |
$26K |
| 99215 |
Prolong outpt/office vis |
400 |
347 |
$25K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
64 |
60 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
248 |
233 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
27 |
25 |
$464.25 |
| 81000 |
|
56 |
55 |
$153.79 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
12 |
$112.98 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
21 |
$74.16 |