| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,849 |
1,329 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
481 |
349 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
43 |
$614.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
16 |
$224.10 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
13 |
$153.18 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
28 |
$24.00 |
| 81003 |
|
23 |
15 |
$18.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
26 |
$0.00 |