| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,802 |
1,751 |
$316K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,318 |
1,287 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
895 |
854 |
$78K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
15 |
12 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
35 |
33 |
$981.74 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$870.16 |
| 1036F |
|
69 |
68 |
$0.12 |
| 3078F |
|
73 |
72 |
$0.10 |
| 3074F |
|
30 |
30 |
$0.02 |