| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
276 |
268 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,965 |
1,546 |
$7K |
| 92551 |
|
427 |
427 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
116 |
105 |
$3K |
| 87428 |
|
28 |
27 |
$2K |
| 96127 |
|
341 |
341 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
28 |
27 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$703.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
80 |
75 |
$583.38 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21 |
12 |
$434.20 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$257.94 |
| 81002 |
|
41 |
34 |
$102.05 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$71.40 |