| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,919 |
2,304 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
542 |
469 |
$54K |
| 99215 |
Prolong outpt/office vis |
81 |
66 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
26 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
32 |
30 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
106 |
95 |
$295.48 |
| 99000 |
|
73 |
57 |
$260.58 |
| 99173 |
|
47 |
41 |
$0.00 |