| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
75 |
75 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
20 |
$200.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$100.00 |
| S8301 |
Infection control supplies, not otherwise specified |
12 |
12 |
$30.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
29 |
29 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
24 |
24 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
50 |
50 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
23 |
23 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
28 |
28 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16 |
16 |
$0.00 |