| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,791 |
3,139 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,971 |
1,626 |
$59K |
| 87428 |
|
369 |
318 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
142 |
120 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
72 |
66 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
31 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
188 |
160 |
$2K |
| 96127 |
|
440 |
393 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$603.85 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
69 |
$129.70 |