| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,198 |
1,126 |
$28K |
| 99442 |
|
170 |
169 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
254 |
162 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
77 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
81 |
65 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
20 |
$407.76 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
29 |
$195.77 |
| 99080 |
|
19 |
17 |
$0.00 |