| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,906 |
3,143 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,063 |
2,546 |
$173K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
366 |
299 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
37 |
$5K |
| 98940 |
|
135 |
71 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
41 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
79 |
58 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
48 |
43 |
$452.95 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
81 |
63 |
$285.94 |
| 90686 |
|
14 |
14 |
$152.24 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
53 |
45 |
$90.71 |
| 99072 |
|
12 |
12 |
$17.50 |
| 99000 |
|
18 |
18 |
$0.00 |