| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,794 |
1,662 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
616 |
563 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
101 |
98 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
107 |
56 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$716.16 |
| 96127 |
|
127 |
79 |
$563.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
41 |
40 |
$204.07 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
13 |
$158.29 |
| 3078F |
|
215 |
207 |
$0.00 |
| 3079F |
|
58 |
58 |
$0.00 |
| 3074F |
|
209 |
201 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |