| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,044 |
947 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
721 |
702 |
$32K |
| 87428 |
|
171 |
165 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
72 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
19 |
$739.05 |
| 96127 |
|
97 |
93 |
$347.73 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$250.86 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$76.00 |
| 99000 |
|
23 |
21 |
$38.08 |