| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,247 |
1,869 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
963 |
764 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
139 |
135 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
40 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
12 |
$924.00 |
| 99215 |
Prolong outpt/office vis |
23 |
16 |
$511.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$361.40 |
| 93000 |
|
28 |
25 |
$200.26 |
| 1160F |
|
19 |
18 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
56 |
$0.00 |
| 96127 |
|
31 |
29 |
$0.00 |