| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,550 |
1,283 |
$127K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
912 |
792 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
576 |
480 |
$48K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,123 |
880 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,006 |
739 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
264 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
977 |
766 |
$15K |
| 87807 |
|
245 |
192 |
$2K |
| 81025 |
|
372 |
307 |
$2K |
| 81002 |
|
382 |
317 |
$965.12 |
| 86318 |
|
45 |
37 |
$583.05 |
| 36415 |
Collection of venous blood by venipuncture |
113 |
100 |
$0.00 |