| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,030 |
865 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
408 |
306 |
$16K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
52 |
38 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
125 |
91 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
395 |
358 |
$946.12 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$735.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
57 |
$533.82 |
| 96160 |
|
85 |
80 |
$232.04 |