| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,040 |
5,597 |
$263K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,305 |
1,765 |
$84K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
23 |
$724.71 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
38 |
26 |
$248.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
55 |
$86.55 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
27 |
24 |
$34.84 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
31 |
27 |
$0.00 |