| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,619 |
1,860 |
$120K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
339 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
105 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
244 |
201 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
228 |
185 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
23 |
22 |
$960.51 |
| 81002 |
|
30 |
30 |
$83.12 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$28.59 |