| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
736 |
396 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
723 |
343 |
$22K |
| 99199 |
Unlisted special service, procedure or report |
2,295 |
2,263 |
$7K |
| 99401 |
|
64 |
36 |
$1K |
| 80305 |
|
96 |
62 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
34 |
24 |
$838.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
45 |
25 |
$705.28 |
| 81002 |
|
510 |
297 |
$481.73 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
40 |
$98.22 |