| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,200 |
1,119 |
$123K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
761 |
749 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,222 |
1,134 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
770 |
759 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,030 |
1,008 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,716 |
1,673 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,619 |
1,018 |
$26K |
| 87428 |
|
326 |
319 |
$23K |
| 87807 |
|
285 |
278 |
$4K |
| 81003 |
|
1,398 |
1,341 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
281 |
261 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
27 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
43 |
43 |
$867.36 |
| 82962 |
|
68 |
64 |
$248.04 |
| 81025 |
|
25 |
25 |
$230.23 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$113.60 |
| 81002 |
|
13 |
13 |
$28.00 |
| 99000 |
|
68 |
65 |
$0.00 |