| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
489 |
170 |
$59.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
227 |
70 |
$0.00 |
| 81025 |
|
66 |
12 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,084 |
395 |
$0.00 |
| 81003 |
|
222 |
67 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$0.00 |