| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,809 |
1,494 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,418 |
1,872 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
400 |
204 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
155 |
90 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
92 |
67 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
109 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
643 |
532 |
$571.84 |
| 0011A |
|
17 |
16 |
$160.00 |
| 0012A |
|
16 |
15 |
$160.00 |
| 90686 |
|
51 |
45 |
$48.42 |
| G0008 |
Administration of influenza virus vaccine |
71 |
63 |
$15.45 |
| 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) |
38 |
25 |
$6.59 |
| 90674 |
|
19 |
18 |
$0.00 |