| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,971 |
1,757 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,209 |
1,050 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
90 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
79 |
$4K |
| 87428 |
|
42 |
40 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
51 |
42 |
$2K |
| 90686 |
|
40 |
26 |
$625.60 |
| 3074F |
|
188 |
181 |
$0.00 |
| 3008F |
|
345 |
332 |
$0.00 |
| 3078F |
|
88 |
84 |
$0.00 |