| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,462 |
823 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
395 |
230 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
76 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
159 |
52 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
80 |
$894.05 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
27 |
19 |
$680.00 |
| 36415 |
Collection of venous blood by venipuncture |
302 |
222 |
$591.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
127 |
45 |
$560.25 |
| 86318 |
|
26 |
21 |
$332.82 |
| 96127 |
|
18 |
17 |
$0.00 |
| 99402 |
|
16 |
15 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
20 |
16 |
$0.00 |
| 99000 |
|
53 |
27 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
68 |
53 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
37 |
32 |
$0.00 |
| 99408 |
|
13 |
12 |
$0.00 |
| 99497 |
|
21 |
20 |
$0.00 |