| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,092 |
896 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
330 |
257 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
52 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
21 |
15 |
$478.74 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$296.67 |
| 36415 |
Collection of venous blood by venipuncture |
244 |
178 |
$273.20 |
| 96127 |
|
115 |
87 |
$249.40 |
| 99000 |
|
246 |
203 |
$20.00 |